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Florida rates for HCPCS C9734

Focused Ultrasound Ablation/Therapeutic Inter- Vention Other Than Uterine Leiomyomata With Magnetic Resonance (Mr) Guidance(Revised 07012013)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,053.00 / $6,554.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,399.57 / $11,399.57 / $11,399.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $323.00 / $323.00
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,187.12 / $4,829.14 / $10,380.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,681.00 / $5,811.00 / $10,057.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.55 / $11.55 / $11.55