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Washington, DC rates for HCPCS 58674

Laps Abltj Uterine Fibroids W/Intraop Us Gdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $4,673.00 / $7,007.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.02 / $679.02 / $679.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.90 / $1,037.36 / $16,403.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.15 / $1,127.31 / $2,095.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.16 / $1,842.78 / $1,842.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,062.00 / $5,185.00 / $19,046.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.42 / $1,770.37 / $2,138.82