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Arizona rates for HCPCS 0404T

Transcervical uterine fibroid(s) ablation with ultrasound guidance, radiofrequency

Facilitymedian $4,786 · 10th–90th $3,548–$8,9130%10%20%10th90th$4,786Professionalmedian $631 · 10th–90th $525–$3,7150%20%10th90th$631$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $21,379.62
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $3,715.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $4,786.30 / $5,754.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $630.96 / $1,202.26