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Michigan 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
$2,232.61 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,719.22 / $2,232.61 / $2,232.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,323.40 / $9,715.92 / $13,235.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.21 / $1,799.12 / $2,910.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,624.46 / $2,027.06 / $3,594.23
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,789.16 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,789.16 / $1,980.56 / $2,885.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.69 / $1,500.18 / $2,266.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,952.10 / $2,332.23 / $2,957.16