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Iowa 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
$2,906.00 / $4,235.59 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,397.67 / $1,404.87 / $1,404.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,764.50 / $1,764.50 / $1,764.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,764.50 / $5,732.00 / $13,568.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,834.08 / $3,599.90 / $8,620.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,683.08 / $3,782.40 / $6,077.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,764.50 / $1,764.50 / $7,779.18
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.00 / $6.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $5,732.00 / $8,342.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,834.08 / $3,148.50 / $4,975.39