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New Hampshire rates for HCPCS 55873

Cryosurgical Ablation Prostate W/Us & Monitori

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,621.78 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.54 / $4,621.78 / $11,063.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,992.79 / $9,992.00 / $19,041.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.06 / $1,836.26 / $10,821.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.03 / $3,206.52 / $17,468.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.84 / $6,037.00 / $18,633.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,629.00 / $12,629.00 / $12,629.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,637.09 / $11,644.03 / $21,442.63
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.95 / $838.53 / $6,056.47