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Maine rates for HCPCS 55815

Prostatectomy Perineal Rad W/Bi Pelvic Lymph Exc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,756.61 / $1,756.61 / $3,051.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,783.47 / $23,063.27 / $26,006.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,036.33 / $2,343.56 / $3,670.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,122.12 / $2,623.58 / $3,758.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,945.93 / $2,506.19 / $3,844.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,756.61 / $1,756.61 / $3,051.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,885.63 / $2,513.01 / $3,464.59