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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
$1,830.35 / $9,260.66 / $9,260.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,745.73 / $2,745.73 / $2,745.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,032.07 / $2,745.73 / $2,946.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,357.58 / $3,303.30 / $3,376.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,661.17 / $2,492.02 / $3,594.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,591.82 / $3,004.28 / $4,782.25