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Connecticut rates for HCPCS 55873

Cryosurgical Ablation Prostate W/Us & Monitori

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,280.34 / $8,886.00 / $11,356.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.08 / $3,268.83 / $11,142.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,098.00 / $16,131.00 / $30,604.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.71 / $5,146.78 / $16,224.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.91 / $1,961.23 / $15,840.65
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,079.27 / $9,143.60 / $9,143.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,706.00 / $11,710.00 / $21,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,606.67 / $11,213.34 / $19,108.24