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Missouri 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
$1,602.42 / $5,389.00 / $13,618.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,226.18 / $1,526.22 / $1,630.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,232.00 / $5,095.00 / $15,218.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,358.96 / $1,677.00 / $2,740.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,519.00 / $18,519.00 / $18,519.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,183.33 / $1,899.44 / $3,468.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.00 / $2,217.26 / $15,000.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,391.98 / $2,471.79 / $9,901.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $5,275.00 / $17,348.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.13 / $1,729.44 / $4,170.30