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Ohio 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
$1,373.19 / $7,501.00 / $17,682.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.99 / $5,520.15 / $8,208.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,142.00 / $8,543.00 / $36,529.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.46 / $2,577.60 / $8,630.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.67 / $868.40 / $1,074.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.59 / $5,334.71 / $5,334.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.47 / $1,714.20 / $10,143.48
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.04 / $2,031.84 / $10,143.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.65 / $4,443.76 / $7,303.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,351.00 / $11,267.00 / $15,869.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,368.56 / $7,037.91 / $12,050.73