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Missouri rates for HCPCS 55866

Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,194.61 / $7,270.54 / $17,000.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$604.89 / $604.89 / $731.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,762.00 / $14,298.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,806.00 / $10,806.00 / $27,150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,295.47 / $2,702.62 / $19,082.00
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$2,442.64 / $16,840.24 / $16,840.24
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,908.31 / $13,156.44 / $13,156.44
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$305.33 / $2,105.03 / $2,105.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,578.00 / $7,900.00 / $19,082.00