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California 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
$4,570.88 / $10,232.93 / $22,908.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $5,128.61 / $12,882.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $13,489.63 / $22,387.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $2,238.72 / $13,803.84
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $6,606.93 / $25,703.96
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $7,244.36 / $16,595.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $8,709.64 / $10,232.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,862.09 / $12,882.50
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $7,762.47 / $10,232.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $5,495.41 / $10,964.78
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,904.51 / $50,118.72 / $50,118.72
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,904.51 / $45,708.82 / $45,708.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $4,570.88 / $7,585.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,862.09 / $10,471.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,862.09 / $13,489.63
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $20,892.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $17,782.79 / $43,651.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $2,570.40 / $12,302.69