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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
$2,747.00 / $6,966.00 / $8,499.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.54 / $864.45 / $7,822.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.51 / $7,426.66 / $7,453.06
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,699.80 / $2,010.01 / $2,566.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.30 / $6,558.70 / $8,347.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $3,340.00 / $3,340.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,081.70 / $7,453.06 / $10,726.71
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.38 / $8,897.96 / $12,905.00