go back

Maine rates for HCPCS 0655T

Transperineal Focal Laser Abltj Mal Prst8 Tiss

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.48 / $1,518.48 / $1,571.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.87 / $56.55 / $128.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,740.41 / $2,241.50 / $3,438.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.48 / $1,518.48 / $1,571.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,979.18 / $2,498.32 / $3,438.58