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Missouri 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
$1,547.00 / $3,362.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.58 / $1,496.97 / $1,939.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,421.57 / $1,547.04 / $2,740.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$979.58 / $2,233.33 / $6,070.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,696.21 / $2,429.14 / $8,620.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.00 / $2,874.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,696.21 / $2,049.51 / $4,354.72