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Oregon rates for HCPCS 55873

Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring)

Facilitymedian $10,715 · 10th–90th $1,413–$22,9090%10%10th90th$10,715Professionalmedian $4,074 · 10th–90th $776–$13,4900%5%10th90th$4,074$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $12,882.50 / $23,988.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $4,897.79 / $12,882.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $5,495.41 / $16,218.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $5,623.41 / $14,125.38
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $2,511.89 / $14,791.08
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $2,511.89 / $14,125.38
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $10,715.19 / $13,489.63
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $2,344.23 / $14,125.38
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $1,995.26 / $15,135.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,908.68 / $31,622.78 / $37,153.52
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,570.40 / $15,488.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $28,840.32 / $48,977.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $2,511.89 / $15,135.61