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Alaska rates for HCPCS 0655T

Transperineal focal laser ablation of malignant prostate tissue, including transrectal imaging guidance, with MR-fused images or other enhanced ultrasound imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,328.00 / $8,303.41 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,915.63 / $1,915.63 / $1,915.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.52 / $1,915.63 / $2,681.88
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,875.00 / $6,815.00 / $9,400.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.17 / $1,915.63 / $2,681.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,038.21 / $6,385.17 / $13,771.94