go back

New Mexico 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
$1,071.52 / $7,762.47 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $4,073.80 / $9,549.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $40,738.03 / $64,565.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,479.11 / $7,762.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $4,786.30 / $10,000.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $7,585.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,778.28 / $12,589.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $4,786.30 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $21,379.62 / $41,686.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,778.28 / $12,302.69