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Indiana 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
$11,481.54 / $11,481.54 / $11,481.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,982.44 / $40,738.03 / $57,543.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $38.90 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,888.44 / $5,888.44 / $5,888.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $7,762.47 / $12,302.69