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Idaho rates for HCPCS 55862

Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,548.82 / $2,187.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $4,265.80 / $5,128.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,137.96 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,737.80 / $2,089.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $2,187.76 / $3,162.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,862.09 / $2,187.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,737.80 / $2,089.30
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $2,137.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $25,118.86 / $38,904.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,548.82 / $2,238.72