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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
$1,177.16 / $7,028.00 / $35,725.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.30 / $1,618.17 / $11,063.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,989.00 / $9,720.00 / $16,411.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,564.53 / $6,602.78 / $15,500.22
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.42 / $9,430.50 / $28,291.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.42 / $1,078.42 / $8,928.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,304.11 / $1,304.11 / $39,142.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.59 / $3,587.48 / $20,193.98
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,883.00 / $7,533.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,675.82 / $7,272.37 / $10,910.19
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.38 / $6,457.83 / $10,262.48
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $5,700.00 / $39,142.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.25 / $6,306.47 / $19,398.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,964.00 / $9,202.00 / $20,879.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,152.37 / $7,548.24 / $19,584.43
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.43 / $1,018.43 / $3,858.70
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.38 / $6,399.52 / $10,262.48