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New Mexico 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
$1,445.44 / $7,762.47 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $1,202.26 / $2,089.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $85.11 / $1,905.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $1,148.15 / $2,454.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $6,606.93 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,951.21 / $4,365.16