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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
$9,285.00 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,312.30 / $2,312.30 / $2,312.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.30 / $3,237.22 / $3,306.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,711.62 / $1,711.62 / $1,711.62
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,431.25 / $7,453.35 / $11,038.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.30 / $3,237.22 / $3,306.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,898.75 / $8,278.50 / $12,610.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,742.74 / $7,483.41 / $11,483.35