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New York 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
$1,348.96 / $7,244.36 / $34,673.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $2,754.23 / $10,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $11,220.18 / $19,054.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $6,918.31 / $16,982.44
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,265.80 / $28,183.83
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $3,311.31 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $4,897.79 / $22,387.21
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,862.09 / $3,090.30
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,025.60 / $7,762.47 / $11,748.98
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $7,762.47 / $14,125.38
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $7,943.28 / $13,182.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $8,128.31 / $19,952.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $3,630.78 / $12,589.25
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,023.29 / $3,890.45
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $5,888.44 / $11,220.18