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Georgia rates for HCPCS C9734

Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (MR) guidance

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,399.57 / $11,399.57 / $11,399.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,226.13 / $6,105.48 / $13,137.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.55 / $38.50 / $38.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $4,826.00 / $7,889.00