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New York 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
$2,187.76 / $5,370.32 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $1,621.81 / $2,344.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $147.91 / $288.40
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $12,302.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $776.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $724.44 / $1,445.44
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $794.33 / $1,412.54
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $4,365.16 / $9,549.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $2,511.89 / $5,128.61
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $676.08 / $1,202.26