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Tennessee 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
$1,995.00 / $4,110.60 / $20,647.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$702.16 / $1,043.01 / $2,006.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,512.00 / $7,194.00 / $13,623.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,800.00 / $22,189.40 / $22,189.40
Lucent Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$2,442.64 / $16,840.24 / $16,840.24
Lucent Health
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,908.31 / $13,156.44 / $13,156.44
Lucent Health
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
$5,052.00 / $10,886.00 / $20,054.00