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Pennsylvania rates for HCPCS 55840

Prostatectomy Retropubic W/Wo Nerve Sparing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.66 / $4,264.00 / $9,746.10
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,761.00 / $8,451.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.46 / $1,133.46 / $3,013.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $2,391.00 / $6,322.00