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Maryland 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
$6,760.83 / $6,760.83 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $3,311.31 / $9,549.93
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $831.76 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $7,244.36 / $7,244.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $2,570.40 / $11,481.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $7,079.46 / $12,022.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,715.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,621.81 / $10,715.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $7,943.28 / $9,549.93