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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
$873.33 / $6,903.08 / $14,796.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.11 / $4,024.39 / $7,181.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,608.00 / $8,508.00 / $9,173.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.72 / $2,605.04 / $7,742.10
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.72 / $1,215.76 / $9,211.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.25 / $1,900.21 / $11,279.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,184.85 / $6,225.29 / $7,781.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$867.12 / $1,910.33 / $10,270.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,784.86 / $8,862.00 / $13,732.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.78 / $1,122.27 / $9,929.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,429.46 / $8,208.41 / $14,583.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,301.00 / $22,621.00 / $43,122.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,143.57 / $6,122.82 / $13,374.52