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Alaska rates for HCPCS 55873

Cryosurgical Ablation Prostate W/Us & Monitori

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,265.87 / $10,900.00 / $17,695.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,272.18 / $9,686.60 / $33,758.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,629.61 / $2,629.61 / $18,110.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$962.96 / $5,981.07 / $39,560.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,232.87 / $6,296.10 / $34,236.30
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,083.40 / $4,930.53 / $39,366.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$962.96 / $5,981.07 / $39,560.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,690.16 / $5,566.33 / $39,366.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,488.16 / $21,856.91 / $47,142.37