| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $481.00 | $1,248.28 | $12,866.82 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,695.00 | $3,616.00 | $6,285.00 |
Focused Ultrasound Ablation/Therapeutic Inter- Vention Other Than Uterine Leiomyomata With Magnetic Resonance (Mr) Guidance(Revised 07012013)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $481.00 | $1,248.28 | $12,866.82 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,695.00 | $3,616.00 | $6,285.00 |