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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
$1,544.00 / $8,207.37 / $28,489.39
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$628.10 / $628.10 / $38,099.43
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,877.85 / $23,250.68 / $46,556.63
Highmark BCBS
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$1,408.00 / $1,408.00 / $1,408.00
Highmark BCBS
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$7,652.87 / $7,652.87 / $7,652.87
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,507.67 / $7,182.86 / $28,123.82
Martin's Point
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$628.10 / $628.10 / $38,099.43
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,160.82 / $1,160.82 / $3,010.10
UPMC Health Plan
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,850.00 / $2,884.53 / $2,884.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $7,000.00 / $11,238.00