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Iowa 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
$1,258.93 / $6,165.95 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $4,570.88 / $12,589.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,187.76 / $16,595.87
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $6,025.60 / $9,332.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $11,748.98 / $22,908.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $9,120.11 / $20,892.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $11,220.18 / $15,488.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,041.74 / $16,982.44
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $14,454.40 / $17,378.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $14,791.08 / $25,118.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $2,398.83 / $14,125.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,698.24 / $12,022.64