go back

Washington, DC 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
$831.76 / $2,137.96 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $1,584.89 / $2,089.30
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,079.46 / $9,332.54 / $20,417.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $630.96 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $13,489.63 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,949.84 / $4,265.80