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Indiana 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
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
$2,575.00 / $24,214.00 / $47,628.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.88 / $123.20 / $123.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,094.00 / $10,413.00