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West 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
$776.25 / $1,412.54 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $3,630.78 / $8,317.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $977.24
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $5,248.07 / $25,703.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $8,511.38 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,348.96 / $7,079.46