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South Carolina rates for HCPCS 55873

Cryosurgical Ablation Prostate W/Us & Monitori

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.16 / $9,062.00 / $18,784.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.86 / $5,743.85 / $7,228.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,908.29 / $28,738.62 / $49,400.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.72 / $1,875.17 / $6,712.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,805.89 / $8,805.89 / $11,315.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.84 / $1,953.94 / $11,955.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.16 / $1,689.26 / $11,142.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,868.00 / $7,791.11 / $10,158.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.17 / $4,281.66 / $7,780.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,224.00 / $21,747.00 / $41,346.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,733.71 / $6,601.35 / $14,421.01