go back

Colorado rates for HCPCS 57155

Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.00 / $3,027.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.61 / $349.31 / $532.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,515.00 / $6,907.00 / $15,216.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.50 / $509.28 / $792.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.70 / $539.36 / $753.55
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.62 / $474.55 / $662.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $523.67 / $797.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,361.00 / $2,537.00 / $23,297.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.45 / $629.41 / $1,007.74