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Alaska rates for HCPCS 0072T

Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume greater or equal to 200 cc of tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $12,022.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $1,862.09 / $2,137.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $954.99 / $2,454.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $954.99 / $2,137.96
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $10,715.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,348.96 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $5,011.87 / $11,481.54