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Maine 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
Professional
Modifier
Low / Median / High Price
$11.48 / $11.48 / $117.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,782.79 / $17,782.79 / $17,782.79
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,481.54 / $11,481.54 / $11,481.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,782.79 / $17,782.79 / $48,977.88