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Nebraska 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
$6,025.60 / $8,511.38 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $3,311.31 / $11,481.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $11,220.18 / $21,877.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $4,570.88 / $10,471.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $5,248.07 / $16,595.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $5,370.32 / $14,791.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $12,302.69 / $41,686.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $11,748.98 / $17,782.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $12,022.64
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $1,905.46 / $16,595.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $10,000.00 / $15,848.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $2,137.96 / $13,803.84