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Oregon 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
$1,513.56 / $12,882.50 / $23,988.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $4,897.79 / $11,748.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $5,128.61 / $17,782.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $5,623.41 / $14,125.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $5,495.41 / $17,378.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $2,511.89 / $13,182.57
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $10,715.19 / $13,489.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,137.96 / $13,803.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,949.84 / $15,135.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,908.68 / $29,512.09 / $37,153.52
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,570.40 / $14,454.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $26,302.68 / $52,480.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $2,511.89 / $15,488.17