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Pennsylvania 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
$1,949.84 / $8,317.64 / $32,359.37
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$38,018.94 / $38,018.94 / $38,018.94
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $21,379.62 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $23,442.29 / $48,977.88
Highmark BCBS
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $7,585.78 / $28,183.83
Martin's Point
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$38,018.94 / $38,018.94 / $38,018.94
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,884.03
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $3,019.95 / $4,365.16
UPMC Health Plan
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,818.38 / $2,884.03 / $2,884.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $8,128.31 / $33,113.11