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Nebraska 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
$3,971.69 / $8,023.32 / $20,928.72
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$548.08 / $548.08 / $548.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,646.56 / $11,718.32 / $21,998.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.16 / $2,988.59 / $17,344.45
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$16,840.24 / $16,840.24 / $16,840.24
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$13,156.44 / $13,156.44 / $13,156.44
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,105.03 / $2,105.03 / $2,105.03
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,210.13 / $2,947.84 / $4,406.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,148.00 / $9,696.00 / $15,622.00