go back

Minnesota 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
$1,471.24 / $1,471.24 / $3,638.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.30 / $1,471.24 / $1,503.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,299.43 / $8,040.40 / $16,508.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,374.23 / $3,077.45 / $12,257.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,221.13 / $3,956.00 / $6,547.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,735.00 / $4,974.00 / $8,812.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,112.09 / $4,176.13 / $6,357.99