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Massachusetts 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
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.00 / $3,764.00 / $9,039.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,623.81 / $19,689.96 / $28,734.62
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.00 / $3,764.00 / $9,039.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,764.00 / $8,766.00