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Kentucky 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
$724.44 / $4,897.79 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $2,818.38 / $8,317.64
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $10,232.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $6,165.95 / $13,182.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,548.82 / $6,025.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $954.99 / $1,148.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,000.00 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $4,073.80 / $25,703.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $6,760.83 / $25,118.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,584.89 / $10,000.00