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Hawaii 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
$2,818.38 / $6,918.31 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $4,897.79 / $8,317.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $7,244.36 / $7,413.10
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $5,754.40 / $13,803.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $6,456.54 / $7,943.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $3,311.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $6,025.60 / $8,317.64
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $9,120.11 / $14,125.38