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Arizona 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
$1,671.00 / $5,223.00 / $10,407.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.38 / $5,506.43 / $9,292.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $767.34 / $892.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,749.99 / $12,749.99 / $12,749.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.16 / $1,678.02 / $11,131.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.29 / $4,680.47 / $12,949.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.88 / $7,372.26 / $41,874.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,702.00 / $11,114.00 / $16,556.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,231.44 / $6,506.96 / $11,616.65