| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $60.00 | $60.00 | $85.00 | |
United
| Facility | $4,834.00 | $6,599.00 | $7,158.00 |
Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (MR) guidance
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $60.00 | $60.00 | $85.00 | |
United
| Facility | $4,834.00 | $6,599.00 | $7,158.00 |