go back

Arizona 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
$2,073.00 / $4,632.00 / $8,104.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.97 / $828.88 / $2,775.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.51 / $2,878.85 / $4,738.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.94 / $670.58 / $838.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,019.71 / $9,019.71 / $9,019.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.48 / $1,022.91 / $1,745.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.88 / $1,083.43 / $8,551.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.36 / $952.41 / $6,029.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,255.00 / $7,205.00 / $10,939.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.36 / $899.83 / $1,657.60