| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $45.00 | $45.00 | $45.00 | |
Regence BlueShield
| Facility | $20,314.50 | $25,330.44 | $36,365.48 | |
United
| Facility | $1,981.00 | $3,613.00 | $7,048.00 |
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 |
|---|---|---|---|---|---|
Molina
| Professional | $45.00 | $45.00 | $45.00 | |
Regence BlueShield
| Facility | $20,314.50 | $25,330.44 | $36,365.48 | |
United
| Facility | $1,981.00 | $3,613.00 | $7,048.00 |