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Nebraska 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
$2,318.31 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,397.67 / $1,397.67 / $1,397.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,646.56 / $11,718.32 / $21,998.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,336.91 / $2,278.82 / $3,038.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,779.18 / $7,779.18 / $7,779.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,397.67 / $2,376.04 / $8,469.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,031.41 / $3,385.69 / $8,620.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,683.08 / $3,782.40 / $7,779.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,764.50 / $7,779.18 / $7,779.18
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
$4,217.00 / $6,451.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,031.41 / $3,400.29 / $3,691.15