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Tennessee 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
$1,136.89 / $2,408.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.78 / $1,421.11 / $1,519.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,367.00 / $4,614.00 / $7,782.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,362.01 / $1,881.33 / $3,273.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,117.37 / $14,302.50 / $14,302.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,473.65 / $8,620.34 / $13,322.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.00 / $3,616.00 / $6,285.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,531.89 / $2,278.07 / $3,491.70