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Missouri 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
$1,778.28 / $4,897.79 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $933.25 / $2,089.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $794.33 / $2,187.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,737.80 / $5,623.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,454.71 / $7,079.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $2,570.40 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $2,137.96 / $3,388.44