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Maryland rates for HCPCS 55873

Cryosurgical Ablation Prostate W/Us & Monitori

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,749.88 / $6,749.88 / $6,749.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.05 / $4,024.39 / $7,228.13
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.72 / $844.28 / $1,363.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,298.02 / $7,298.02 / $7,298.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.47 / $4,505.21 / $14,594.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,820.79 / $7,316.26 / $13,598.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,175.77 / $6,564.72 / $12,497.98
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,671.52 / $6,522.25 / $8,030.67