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Nevada 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
$1,539.90 / $2,173.00 / $4,841.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,539.90 / $1,539.90 / $2,414.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,671.00 / $4,589.00 / $6,006.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.60 / $74.59 / $107.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,653.10 / $2,653.10 / $2,653.10
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $425.00 / $3,135.34
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,850.31 / $5,618.32 / $5,618.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,282.00 / $2,947.00 / $7,221.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,645.00 / $2,226.39 / $2,992.58