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Arizona 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
$1,582.00 / $2,933.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.97 / $1,602.78 / $2,414.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,515.38 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.80 / $1,024.93 / $1,677.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,645.45 / $4,645.45 / $4,645.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,629.54 / $2,656.12 / $5,107.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,504.01 / $1,890.66 / $3,786.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,140.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,477.40 / $1,786.00 / $3,110.48