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Maine 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
Professional
Modifier
Low / Median / High Price
$3,006.37 / $3,006.37 / $3,164.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,603.26 / $1,893.98 / $1,893.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.71 / $1,690.67 / $2,593.57
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,006.37 / $3,006.37 / $3,164.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,058.98 / $2,664.17 / $3,215.38