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Massachusetts 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
$1,486.00 / $2,663.12 / $3,693.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,571.78 / $1,713.37 / $1,926.86
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $4,249.00 / $11,217.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,884.05 / $3,085.41 / $8,473.65
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,097.61 / $2,097.61 / $2,467.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,925.12 / $3,800.19 / $4,794.70
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $4,249.00 / $11,217.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,884.05 / $3,072.73 / $8,473.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,764.00 / $8,766.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,884.05 / $2,633.68 / $5,327.85