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Utah rates for HCPCS 55873

Cryosurgical Ablation Prostate W/Us & Monitori

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,116.08 / $5,743.00 / $10,458.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.74 / $4,387.00 / $9,292.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.40 / $6,186.80 / $10,253.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.28 / $3,623.20 / $5,074.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,653.00 / $17,467.05 / $25,454.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.42 / $1,687.67 / $10,500.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $10,927.00 / $26,740.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,098.38 / $6,337.60 / $12,638.17