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Illinois 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
$630.96 / $3,235.94 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $870.96 / $2,137.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $4,677.35 / $5,623.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $199.53 / $346.74
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $3,548.13 / $7,585.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,630.27 / $4,168.69