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Illinois 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
$1,148.15 / $5,128.61 / $12,302.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $3,311.31 / $10,964.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $13,803.84 / $19,054.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $2,691.53 / $10,471.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,819.70 / $9,772.37
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $7,079.46 / $10,715.19
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $954.99 / $7,079.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $7,943.28 / $22,387.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,949.84 / $10,964.78