go back

Idaho 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
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $4,466.84 / $11,748.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $9,120.11 / $23,988.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $8,511.38 / $10,715.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,548.82 / $10,715.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $2,344.23 / $14,791.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $2,137.96 / $11,481.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $20,892.96 / $29,512.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,479.11 / $9,549.93
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $5,248.07 / $17,378.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $30,902.95 / $43,651.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,621.81 / $12,302.69