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Louisiana 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
$646.00 / $1,544.47 / $3,728.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,426.22 / $1,479.91 / $1,687.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,096.39 / $5,377.00 / $7,780.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $6,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,361.37 / $1,925.45 / $3,269.31