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Indiana 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
$1,122.02 / $7,585.78 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $3,019.95 / $8,317.64
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $10,232.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $35,481.34 / $52,480.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $2,454.71 / $7,585.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $776.25 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $2,137.96 / $10,471.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $13,803.84 / $20,417.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,584.89 / $9,120.11