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Idaho rates for HCPCS 55873

Cryosurgical Ablation Prostate W/Us & Monitori

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,657.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.74 / $4,500.00 / $11,683.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.36 / $1,465.57 / $10,578.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,004.74 / $2,287.01 / $12,001.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,228.08 / $2,115.80 / $10,546.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $7,447.83 / $9,369.85
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,031.95 / $22,875.82 / $28,539.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.27 / $1,433.37 / $10,653.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,000.00 / $30,325.00 / $42,778.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,488.98 / $8,893.85 / $12,989.22