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Wyoming 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
$764.88 / $764.88 / $6,150.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,384.00 / $2,019.00 / $15,046.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.73 / $1,788.24 / $16,198.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,509.00 / $8,509.00 / $27,952.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,846.75 / $15,471.18 / $26,027.74