go back

Maine 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
Professional
Modifier
Low / Median / High Price
$537.03 / $1,862.09 / $2,344.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $1,737.80 / $1,905.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $933.25 / $1,621.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,862.09 / $2,137.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $2,041.74 / $3,235.94