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South Carolina 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
$537.03 / $9,120.11 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $1,202.26 / $1,949.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $14,454.40 / $24,547.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $1,096.48 / $2,454.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $11,220.18 / $16,982.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $2,089.30 / $3,630.78