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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
$2,035.00 / $5,440.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.87 / $3,278.21 / $6,999.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,319.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.37 / $1,687.80 / $8,639.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.70 / $1,934.20 / $11,750.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$887.73 / $5,354.58 / $20,033.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,384.59 / $13,124.55 / $41,874.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,926.00 / $5,833.00 / $25,874.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,273.45 / $7,997.17 / $18,495.45