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North Carolina 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
$1,659.59 / $6,456.54 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,819.70 / $3,019.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,162.28 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,760.83 / $6,760.83 / $8,317.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,819.70 / $3,311.31
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $7,244.36 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,570.40 / $4,265.80
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $11,481.54 / $11,481.54
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,481.54 / $11,481.54 / $11,481.54