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Wisconsin rates for HCPCS 0404T

Transcervical Uterine Fibroid Abltj W/Us Gdn Rf

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,080.00 / $16,979.00 / $28,532.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,704.20 / $3,704.20 / $3,704.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,442.45 / $21,442.45 / $21,442.45
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,534.70 / $1,534.70 / $3,704.20