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Idaho 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
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,698.24 / $2,137.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $5,754.40 / $9,549.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $691.83 / $707.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,949.84 / $4,466.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,778.28 / $2,137.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $7,079.46 / $9,772.37
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $891.25 / $1,548.82
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $5,754.40 / $8,128.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $12,302.69 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,511.89 / $3,801.89