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Maine rates for HCPCS 55873

Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $3,630.78 / $9,549.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,862.09 / $9,120.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,445.44 / $10,715.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $7,079.46 / $10,964.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $4,073.80 / $15,848.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,949.84 / $11,748.98