go back

Idaho rates for HCPCS 58674

Laps Abltj Uterine Fibroids W/Intraop Us Gdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $4,500.00 / $8,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.88 / $953.52 / $1,417.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.09 / $1,395.63 / $1,558.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.61 / $1,220.51 / $1,813.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,306.01 / $1,385.16 / $1,583.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,126.04 / $1,416.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,280.86 / $24,687.79 / $31,188.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,252.66 / $1,252.66 / $1,527.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,800.00 / $26,422.00 / $29,092.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.31 / $1,161.49 / $1,681.28