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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
$2,089.30 / $5,623.41 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $4,265.80 / $9,549.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $5,370.32 / $7,943.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $812.83 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,659.59 / $11,481.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $5,248.07 / $15,135.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $7,244.36 / $41,686.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $10,232.93 / $17,782.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,513.56 / $9,549.93