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South Carolina rates for HCPCS 0655T

Transperineal Focal Laser Abltj Mal Prst8 Tiss

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,461.11 / $7,182.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.25 / $1,461.11 / $1,461.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,208.42 / $3,208.42 / $4,122.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.81 / $1,475.86 / $2,483.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,252.57 / $2,252.57 / $2,252.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.00 / $10,257.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,530.45 / $2,120.56 / $4,088.13