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Michigan rates for HCPCS 55873

Cryosurgical Ablation Prostate W/Us & Monitori

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.42 / $5,757.00 / $9,081.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.81 / $1,364.87 / $7,003.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,393.53 / $16,801.58 / $22,888.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.54 / $744.80 / $1,409.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.17 / $1,562.30 / $9,181.10
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.72 / $5,757.00 / $8,824.96
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.42 / $6,487.93 / $8,899.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.08 / $4,175.60 / $6,651.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,740.73 / $12,544.00 / $24,474.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,596.36 / $7,364.33 / $10,865.83