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Texas 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
$1,000.00 / $3,715.35 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $1,445.44 / $2,089.30
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $7,079.46 / $7,079.46
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,079.46 / $7,079.46 / $7,079.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,905.46 / $5,248.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,445.44 / $2,089.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,513.56 / $3,162.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $4,073.80 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,187.76 / $3,311.31
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $575.44 / $575.44