| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $5,321.00 | $15,963.93 | $34,342.69 | |
Midlands
| Facility | $13,507.94 | $14,735.03 | $17,191.91 | |
United
| Facility | $4,217.00 | $5,732.00 | $8,342.00 |
Focused Ultrasound Ablation/Therapeutic Inter- Vention Other Than Uterine Leiomyomata With Magnetic Resonance (Mr) Guidance(Revised 07012013)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $5,321.00 | $15,963.93 | $34,342.69 | |
Midlands
| Facility | $13,507.94 | $14,735.03 | $17,191.91 | |
United
| Facility | $4,217.00 | $5,732.00 | $8,342.00 |