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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
$1,000.00 / $7,838.38 / $8,226.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.34 / $5,788.07 / $9,491.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,512.53 / $38,435.73 / $61,625.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.46 / $1,313.44 / $7,993.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.51 / $4,821.58 / $10,833.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $4,603.47 / $7,893.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,177.20 / $1,694.19 / $3,250.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.56 / $4,821.58 / $11,724.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,609.00 / $21,608.00 / $23,542.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,543.01 / $8,776.50 / $14,437.42