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Montana rates for HCPCS 55873

Cryosurgical Ablation Prostate W/Us & Monitori

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.83 / $4,024.39 / $33,758.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.93 / $1,200.93 / $1,200.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.93 / $1,322.69 / $11,667.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.13 / $10,455.25 / $11,780.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.72 / $5,566.33 / $10,871.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,249.89 / $10,356.27 / $15,993.23