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Oklahoma 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
$1,230.27 / $2,630.27 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $1,047.13 / $2,089.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,862.09 / $5,754.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $2,137.96 / $7,079.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,311.31 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,089.30 / $2,951.21