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Nebraska 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
$7,244.36 / $8,511.38 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $549.54 / $1,584.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $10,471.29 / $20,417.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $831.76 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,230.27 / $2,454.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $3,981.07 / $7,762.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $3,467.37 / $5,248.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,288.25 / $2,454.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $4,365.16 / $8,128.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $2,818.38 / $4,677.35