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Maine rates for HCPCS 55873

Cryosurgical Ablation Prostate W/Us & Monitori

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.00 / $1,456.08 / $11,063.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.06 / $1,607.23 / $8,852.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.88 / $1,638.81 / $11,335.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.47 / $2,187.65 / $10,456.48
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.00 / $1,456.08 / $7,088.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.40 / $9,593.14 / $11,644.03