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Virginia 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
$1,667.93 / $4,771.00 / $8,920.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,503.85 / $1,667.93 / $1,667.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.64 / $54.91 / $76.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,473.90 / $1,768.68 / $2,143.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,522.24 / $1,714.58 / $2,847.02
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.00 / $2,669.00 / $3,639.12
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,516.20 / $2,082.50 / $5,095.35
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.20 / $2,082.50 / $5,095.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $7,061.00 / $12,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,356.97 / $2,191.69 / $3,397.51