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Arkansas 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
$904.98 / $1,342.00 / $3,804.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.98 / $904.98 / $1,684.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.00 / $1,825.00 / $4,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,396.61 / $1,747.10 / $2,976.87