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Pennsylvania rates for HCPCS 55873

Cryosurgical Ablation Prostate W/Us & Monitori

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.97 / $5,451.85 / $8,950.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.77 / $4,024.39 / $7,181.88
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,215.72 / $5,412.55 / $5,412.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.57 / $1,783.02 / $10,497.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,436.93 / $8,538.95 / $8,882.04
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,524.91 / $24,748.55 / $26,970.99
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $5,403.00 / $9,830.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.77 / $4,024.39 / $8,886.51
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $1,336.60 / $16,427.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.46 / $1,793.82 / $10,501.27
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.68 / $1,126.91 / $5,495.94
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.68 / $4,590.72 / $6,009.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,627.00 / $10,855.00 / $29,762.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.67 / $6,741.09 / $11,782.84