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Pennsylvania 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
$1,071.52 / $6,165.95 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $4,073.80 / $8,912.51
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $21,379.62 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,621.81 / $10,471.29
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,918.31 / $8,912.51 / $9,772.37
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $5,888.44 / $9,332.54
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,620.87 / $24,547.09 / $26,915.35
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $5,495.41 / $9,772.37
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $3,548.13 / $12,589.25
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $12,882.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $10,715.19 / $14,791.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,949.84 / $5,495.41
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,949.84 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $8,128.31 / $29,512.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,548.82 / $9,549.93