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Massachusetts rates for HCPCS 55873

Cryosurgical Ablation Prostate W/Us & Monitori

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,575.00 / $3,363.00 / $7,822.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.54 / $2,017.51 / $11,142.34
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,772.67 / $7,292.00 / $26,542.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.85 / $9,143.20 / $38,986.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.79 / $1,150.23 / $2,260.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.03 / $883.03 / $883.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.99 / $3,963.11 / $20,590.95
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.28 / $1,613.32 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,427.69 / $6,145.70 / $9,454.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.05 / $6,677.71 / $14,825.18
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,485.00 / $9,939.76 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,603.95 / $17,739.18 / $38,986.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,485.00 / $7,292.00 / $28,500.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.60 / $10,364.94 / $20,815.68