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New York 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
$4,989.00 / $9,720.00 / $16,411.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,492.50 / $4,492.50 / $13,477.50