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Delaware 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
$6,316.00 / $6,316.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.53 / $739.53 / $794.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.14 / $1,036.13 / $1,214.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.84 / $1,100.40 / $1,903.20