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Hawaii rates for HCPCS 55815

Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $2,747.00 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,768.78 / $1,793.44 / $1,793.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,740.87 / $2,148.21 / $2,160.11
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,517.16 / $2,828.10 / $3,337.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,890.43 / $2,062.28 / $2,406.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.00 / $2,446.00 / $2,446.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.94 / $2,150.09 / $2,805.00
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $1,543.60 / $2,848.36