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Rhode Island 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
$3,981.07 / $3,981.07 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $3,630.78 / $8,317.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $3,801.89 / $7,943.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $1,584.89 / $13,182.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $8,128.31 / $19,952.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,445.44 / $11,220.18