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Alaska rates for HCPCS 55873

Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $11,220.18 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $4,897.79 / $9,549.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $2,630.27 / $18,197.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $6,025.60 / $28,183.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $6,309.57 / $33,884.42
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $4,897.79 / $33,884.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $6,165.95 / $39,810.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,047.13 / $18,197.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $6,918.31 / $38,018.94