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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
$1,778.28 / $4,897.79 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,862.09 / $3,162.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $794.33 / $2,238.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,760.83 / $6,760.83 / $6,760.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $2,691.53 / $8,709.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $2,398.83 / $11,481.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $2,570.40 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,238.72 / $3,548.13