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Oklahoma rates for HCPCS 0404T

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

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $21,379.62 / $21,379.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $3,715.35 / $3,715.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $676.08 / $954.99