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Missouri 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
$2,041.74 / $5,128.61 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $2,511.89 / $9,332.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,786.30 / $10,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,621.81 / $8,912.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $5,128.61 / $8,317.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,698.24 / $12,022.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $5,495.41 / $26,302.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $10,471.29 / $41,686.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $4,786.30 / $19,054.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $2,187.76 / $11,481.54