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Nebraska 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
$7,244.36 / $8,511.38 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,659.59 / $1,949.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $10,471.29 / $20,417.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $831.76 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $4,168.69 / $8,317.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $3,981.07 / $14,454.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $3,467.37 / $5,248.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $3,162.28 / $4,168.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $4,365.16 / $8,128.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $3,548.13 / $4,677.35