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Vermont rates for HCPCS 55873

Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $4,570.88 / $9,549.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,737.80 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $2,187.76 / $17,378.01