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Washington rates for HCPCS 0404T

Transcervical Uterine Fibroid Abltj W/Us Gdn Rf

Insurance Carrier
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,054.20 / $21,442.45 / $21,442.45
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,704.20 / $3,704.20 / $3,704.20
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,117.54 / $7,669.73 / $32,640.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,597.11 / $5,649.39 / $10,088.04
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,889.85 / $6,490.97 / $7,658.40