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Maine rates for HCPCS 55865

Expos Prostate Insj Radioac Sbst W/Bi Pelv Lymph

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.12 / $1,331.12 / $2,313.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,783.47 / $23,063.27 / $26,006.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,536.35 / $1,772.40 / $2,789.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,603.85 / $1,992.33 / $2,854.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,478.61 / $1,904.32 / $2,921.33
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.12 / $1,331.12 / $2,313.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,426.63 / $1,893.69 / $2,633.44