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Georgia 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
$4,265.80 / $7,079.46 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $933.25 / $2,238.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,047.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $5,623.41 / $12,022.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,318.26 / $1,949.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,244.36 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,318.26 / $1,995.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $891.25 / $3,311.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $7,762.47 / $17,378.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,174.90 / $1,819.70