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Utah rates for HCPCS 55865

Expos Prostate Insj Radioac Sbst W/Bi Pelv Lymph

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,789.43 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,464.50 / $1,789.43 / $2,667.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,600.88 / $1,886.50 / $2,481.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.79 / $963.76 / $1,269.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,725.80 / $2,010.74 / $2,349.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $9,026.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.81 / $1,542.00 / $2,777.05