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Minnesota rates for HCPCS 0071T

Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume less than 200 cc of tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,819.70 / $3,019.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,912.51 / $22,908.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,848.93 / $22,387.21 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,760.83 / $7,413.10 / $8,511.38
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,378.01 / $21,379.62 / $42,657.95
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,760.83 / $6,760.83 / $9,332.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $3,311.31 / $8,317.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $3,715.35 / $10,471.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $5,248.07 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $3,090.30 / $7,079.46