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Oregon 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
$2,747.00 / $6,072.60 / $15,341.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.29 / $1,770.90 / $1,770.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,866.53 / $3,577.72 / $4,027.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.98 / $1,770.90 / $3,807.44
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,660.26 / $2,534.46 / $3,392.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.56 / $1,770.90 / $3,807.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,224.20 / $3,224.20 / $3,224.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,670.96 / $10,952.22 / $13,806.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,668.35 / $3,856.35 / $4,930.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $9,074.00 / $12,786.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,397.00 / $3,571.99 / $5,000.33