TMPPM 2008 > Appendices > Women's Health Program > Benefits and Limitations
4-74000
$22.91
I-74000
$7.64
T-74000
$15.27
4-74010
$27.00
I-74010
$10.09
T-74010
$16.91
4-76830
$74.74
I-76830
$30.28
T-76830
$44.46
Procedure code 4/I/T-76830 should be used for the purpose of localization of an intrauterine device.