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Utah rates for HCPCS 55815

Prostatectomy Perineal Rad W/Bi Pelvic Lymph Exc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,363.52 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,296.71 / $2,363.52 / $3,517.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,115.21 / $2,499.84 / $3,803.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.09 / $1,270.63 / $1,688.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,272.36 / $2,659.69 / $3,108.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,680.36 / $1,837.68 / $3,666.24