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Idaho rates for HCPCS 55865

Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes

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
$1,348.96 / $1,862.09 / $2,691.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $5,248.07 / $6,309.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,570.40 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,137.96 / $2,570.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $2,691.53 / $3,801.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,238.72 / $2,691.53
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
$1,819.70 / $2,137.96 / $2,570.40
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $2,570.40
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
$1,348.96 / $1,862.09 / $2,754.23