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Maine 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
Professional
Modifier
Low / Median / High Price
$11.55 / $11.55 / $38.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,605.18 / $17,605.18 / $17,605.18