go back

Idaho rates for HCPCS 55815

Prostatectomy Perineal Rad W/Bi Pelvic Lymph Exc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,296.71 / $2,479.46 / $3,517.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,472.91 / $3,027.17 / $3,379.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,987.42 / $3,057.69 / $3,859.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,804.69 / $2,974.67 / $3,399.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,455.11 / $3,088.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,671.05 / $2,671.05 / $3,290.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,879.91 / $2,706.61 / $3,768.07