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Georgia 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
$1,519.34 / $4,592.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,450.32 / $1,503.85 / $1,544.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,282.27 / $3,801.18 / $7,114.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.39 / $55.81 / $2,462.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,185.25 / $3,185.25 / $3,185.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,676.15 / $2,011.38 / $2,832.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $4,826.00 / $7,889.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,694.04 / $2,422.48 / $3,793.11