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Virginia 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
$1,071.52 / $6,918.31 / $14,791.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $4,365.16 / $8,511.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $9,120.11 / $9,120.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $4,466.84 / $9,120.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,258.93 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,819.70 / $10,471.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $6,918.31 / $18,197.01
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $6,760.83 / $15,488.17
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,995.26 / $10,964.78
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,148.15 / $15,135.61
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $8,128.31 / $19,952.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $20,892.96 / $40,738.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,698.24 / $10,964.78