go back

Michigan rates for HCPCS 55865

Expos Prostate Insj Radioac Sbst W/Bi Pelv Lymph

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.89 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.30 / $1,691.89 / $1,691.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,271.83 / $7,321.11 / $9,973.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.99 / $1,677.74 / $2,126.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.02 / $1,528.73 / $2,726.56
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,353.64 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.64 / $1,503.31 / $2,173.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.78 / $1,143.80 / $1,714.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,470.07 / $1,764.85 / $2,227.17