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Wisconsin rates for HCPCS 0404T

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

Facilitymedian $17,378 · 10th–90th $12,589–$30,2000%10%10th90th$17,378Professionalmedian $1,549 · 10th–90th $59–$3,7150%20%10th90th$1,549$100.0$500.0$2.0K$10.0K

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

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $17,378.01 / $30,199.52
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $3,715.35
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $58.88 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $14,125.38 / $21,379.62
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $3,715.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $12,022.64 / $14,125.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $2,089.30 / $2,344.23