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Montana rates for HCPCS 55815

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,344.23 / $4,365.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,754.23 / $2,951.21
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $3,019.95 / $3,388.44
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $3,019.95 / $3,388.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,511.89 / $3,388.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,819.70 / $3,630.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $3,019.95 / $4,365.16