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Massachusetts 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
$2,570.40 / $4,570.88 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $2,818.38 / $9,549.93
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $7,413.10 / $50,118.72
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $3,162.28 / $18,197.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $2,818.38 / $16,982.44
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,479.11 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $5,754.40 / $10,000.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $6,918.31 / $30,902.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $5,888.44 / $14,791.08
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $10,471.29 / $50,118.72
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $2,818.38 / $17,782.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $7,244.36 / $30,902.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $2,290.87 / $15,848.93