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Alaska rates for HCPCS 0071T

Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume less than 200 cc of tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $12,022.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,137.96 / $3,019.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $2,290.87 / $3,630.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $2,137.96 / $3,019.95
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $7,413.10 / $10,715.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,818.38 / $3,630.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $1,905.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $5,011.87 / $11,481.54