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New Mexico 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
$1,000.00 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,793.81 / $1,866.04 / $3,164.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $85.00 / $899.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,006.37 / $3,006.37 / $3,006.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.16 / $537.16 / $553.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,834.00 / $6,599.00 / $7,158.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,510.48 / $3,036.00 / $4,360.80