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North Dakota 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 / $1,288.25 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $1,288.25 / $2,089.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $630.96 / $4,570.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,288.25 / $3,801.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $3,388.44 / $4,073.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $8,912.51 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $2,454.71 / $4,365.16