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New Jersey 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
$4,466.84 / $6,918.31 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $1,318.26 / $2,344.23
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,232.93 / $16,218.10
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,949.84 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $6,606.93 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $2,238.72 / $3,890.45