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New Hampshire rates for HCPCS 55815

Prostatectomy Perineal Rad W/Bi Pelvic Lymph Exc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $7,152.72 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,768.78 / $3,051.22 / $7,152.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,299.00 / $14,347.98 / $25,014.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,036.33 / $3,320.44 / $5,146.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,225.58 / $3,616.52 / $5,752.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,945.93 / $3,860.34 / $6,410.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,348.98 / $3,094.78 / $6,054.32
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.90 / $1,515.69 / $1,929.06