go back

Alaska rates for HCPCS 55815

Prostatectomy Perineal Rad W/Bi Pelvic Lymph Exc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,238.27 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,260.66 / $9,876.57 / $11,546.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,116.10 / $6,116.10 / $6,116.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,221.12 / $9,876.57 / $14,123.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,249.53 / $11,035.50 / $14,534.65
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,568.75 / $7,619.75 / $11,246.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,221.12 / $9,876.57 / $14,123.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,416.33 / $7,638.00 / $11,344.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,442.03 / $7,381.42 / $15,920.72