go back

South Carolina 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
$2,089.30 / $10,964.78 / $18,620.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $3,019.95 / $8,709.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $26,302.68 / $51,286.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,778.28 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $8,709.64 / $11,220.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,737.80 / $11,481.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,905.46 / $12,022.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $22,387.21 / $37,153.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,862.09 / $8,317.64