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Louisiana rates for HCPCS 55873

Cryosurgical Ablation Prostate W/Us & Monitori

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.00 / $2,847.00 / $7,795.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.04 / $4,024.39 / $8,021.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,955.79 / $15,102.36 / $22,004.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.46 / $1,488.54 / $9,547.58
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.03 / $1,364.72 / $9,076.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.00 / $10,327.00 / $22,053.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.17 / $7,260.70 / $12,036.14