go back

Arizona 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
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.72 / $1,821.27 / $1,980.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,640.88 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.72 / $610.29 / $762.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,228.76 / $2,343.00 / $4,216.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,766.40 / $2,208.01 / $4,446.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,735.16 / $2,097.60 / $3,653.16