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Minnesota 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
$691.83 / $5,623.41 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $5,495.41 / $9,332.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $21,877.62 / $56,234.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $5,754.40 / $17,378.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,135.61 / $21,877.62 / $52,480.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $5,248.07 / $23,988.33
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $20,892.96 / $40,738.03
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $5,128.61 / $20,892.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $6,165.95 / $16,218.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,244.36 / $14,454.40 / $25,703.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $13,182.57 / $24,547.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $5,754.40 / $20,417.38