go back

Alaska rates for HCPCS 55865

Expos Prostate Insj Radioac Sbst W/Bi Pelv Lymph

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,964.26 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,021.60 / $7,474.45 / $8,716.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,621.12 / $4,621.12 / $4,621.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,682.08 / $7,474.45 / $10,688.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,229.00 / $8,385.29 / $11,005.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,991.25 / $5,789.85 / $8,509.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,682.08 / $7,474.45 / $10,688.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,823.05 / $5,785.50 / $8,558.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,370.60 / $5,577.16 / $12,029.18