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Kansas 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
$1,863.00 / $4,747.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.89 / $1,496.97 / $1,496.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,298.89 / $1,521.00 / $5,565.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,696.21 / $2,300.56 / $8,620.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,436.00 / $3,096.00 / $5,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,645.32 / $1,911.98 / $3,504.07