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Louisiana 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
$1,047.13 / $3,235.94 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,584.89 / $8,709.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $15,135.61 / $21,877.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,479.11 / $9,120.11
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,380.38 / $9,332.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $9,332.54 / $22,387.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,621.81 / $9,332.54