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Florida 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
$1,230.27 / $5,495.41 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $1,584.89 / $2,089.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $537.03 / $588.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $831.76 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $5,623.41 / $9,772.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,290.87 / $4,073.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,737.80 / $1,737.80