go back

Alaska rates for HCPCS 58674

Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,409.65 / $9,577.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,885.15 / $3,885.15 / $5,140.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,782.76 / $2,782.76 / $2,782.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,009.13 / $3,885.15 / $5,555.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,978.80 / $5,138.70 / $6,643.59
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,058.75 / $3,548.15 / $5,053.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,009.13 / $3,885.15 / $5,555.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.98 / $3,552.00 / $5,131.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,097.30 / $3,339.33 / $5,031.43