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North Dakota 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 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $5,011.87 / $7,762.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,995.26 / $12,589.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $7,413.10 / $16,218.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $2,089.30 / $10,715.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $11,481.54 / $14,125.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,782.79 / $19,952.62 / $19,952.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $2,041.74 / $14,454.40