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Massachusetts 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
$2,089.30 / $3,388.44 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $1,318.26 / $2,137.96
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,265.80 / $9,120.11
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $2,691.53 / $7,079.46
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $891.25
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,265.80 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,122.02 / $1,862.09
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $4,265.80 / $9,120.11
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $2,691.53 / $7,079.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $4,265.80 / $9,772.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $2,187.76 / $4,265.80