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Tennessee 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
$1,931.98 / $3,716.99 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.61 / $1,691.89 / $2,030.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.00 / $2,326.00 / $5,065.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.06 / $1,694.91 / $2,726.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,286.53 / $1,859.95 / $2,934.36
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $10,610.53 / $10,844.96
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,685.76 / $9,901.20 / $11,047.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $2,665.00 / $14,987.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,296.86 / $1,907.85 / $2,986.99