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Minnesota 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
$549.54 / $549.54 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $1,096.48 / $2,089.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $6,918.31 / $14,454.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $691.83 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $2,754.23 / $8,317.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $3,801.89 / $7,244.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $7,079.46 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $3,019.95 / $7,079.46