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Arkansas 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
$1,071.52 / $1,995.26 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $2,398.83 / $8,317.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $8,709.64 / $12,022.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,023.29 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $11,481.54 / $11,481.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,698.24 / $10,471.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $7,762.47 / $15,135.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,548.82 / $9,772.37