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Missouri 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
$1,760.00 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,158.00 / $1,783.92 / $2,311.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.23 / $769.90 / $2,383.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,777.35 / $6,777.35 / $6,777.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,171.31 / $2,602.38 / $5,829.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,792.94 / $2,653.47 / $11,582.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,874.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,893.98 / $2,443.16 / $4,773.34