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Georgia rates for HCPCS 58674

Laps Abltj Uterine Fibroids W/Intraop Us Gdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,824.00 / $6,760.00 / $12,902.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.40 / $901.90 / $2,277.73
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,430.83 / $1,486.23 / $1,486.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,226.13 / $6,105.48 / $13,137.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.05 / $1,203.91 / $2,134.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,008.00 / $7,258.00 / $10,047.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.13 / $1,373.51 / $2,169.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.51 / $1,040.66 / $3,018.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,998.00 / $9,172.00 / $18,613.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.75 / $1,212.91 / $1,882.10