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Ohio 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
$1,364.83 / $4,809.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,364.83 / $1,364.83 / $2,400.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,239.00 / $12,459.20 / $22,055.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.39 / $1,582.49 / $2,644.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,259.14 / $1,510.97 / $1,870.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,385.05 / $1,385.05 / $1,691.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.85 / $1,901.43 / $2,714.10
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.78 / $1,910.44 / $2,622.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.97 / $1,281.16 / $1,842.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.00 / $3,086.00 / $6,111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,206.33 / $1,670.38 / $2,783.96