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Tennessee 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
$1,288.25 / $3,162.28 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $5,128.61 / $8,912.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $7,943.28 / $13,489.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $2,570.40 / $13,803.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $9,120.11 / $9,120.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,905.46 / $10,964.78
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,904.51 / $38,904.51 / $50,118.72
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,904.51 / $45,708.82 / $45,708.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $10,964.78 / $20,417.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,778.28 / $11,481.54