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South Dakota 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
$1,471.24 / $1,471.24 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,467.00 / $1,471.24 / $1,471.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,097.81 / $2,479.23 / $2,714.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,870.13 / $3,167.70 / $8,620.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,764.50 / $3,079.81 / $6,077.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,779.18 / $7,779.18 / $7,779.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,870.13 / $3,129.02 / $4,446.68