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Illinois 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
$1,148.15 / $3,235.94 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,778.28 / $3,019.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $4,677.35 / $5,623.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $199.53 / $346.74
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $3,548.13 / $7,585.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,630.27 / $4,168.69