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Indiana rates for HCPCS 55873

Cryosurgical Ablation Prostate W/Us & Monitori

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.37 / $4,846.00 / $10,985.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.37 / $4,024.39 / $6,339.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,350.00 / $11,989.00 / $43,260.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.16 / $2,259.42 / $7,333.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.32 / $906.58 / $6,950.99
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,873.25 / $5,847.90 / $7,309.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,275.09 / $9,275.09 / $9,275.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.37 / $1,656.21 / $10,504.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,526.00 / $14,307.00 / $20,461.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,244.08 / $6,409.62 / $11,279.50