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Virginia 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
$831.76 / $4,365.16 / $14,791.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $1,174.90 / $2,187.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,819.70 / $2,630.27
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,585.78 / $11,481.54 / $12,022.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $660.69 / $812.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,412.54 / $3,162.28
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,454.71 / $8,709.64
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $2,454.71 / $8,709.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $7,244.36 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,511.89 / $4,073.80