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California rates for HCPCS 0404T

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

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.00 / $4,958.00 / $13,459.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $393.93 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,365.99 / $21,442.45 / $21,442.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,704.20 / $3,704.20 / $3,704.20