go back

Vermont 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
Professional
Modifier
Low / Median / High Price
$1,681.93 / $1,681.93 / $7,021.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.46 / $2,198.92 / $4,704.37
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,390.65 / $2,198.96 / $4,704.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,625.32 / $1,893.72 / $5,774.09