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North Carolina 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
$1,181.00 / $4,376.00 / $7,593.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.81 / $1,460.81 / $1,519.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $2,598.29 / $3,848.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,241.69 / $1,460.81 / $2,702.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.81 / $1,460.81 / $1,460.81
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.00 / $6.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,526.00 / $7,659.00 / $10,502.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,591.70 / $2,211.44 / $4,369.59
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,117.37 / $14,302.50 / $14,302.50
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,473.65 / $13,322.78 / $13,322.78