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Indiana 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
$799.69 / $1,854.00 / $16,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.07 / $814.39 / $1,237.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,976.00 / $24,214.00 / $45,778.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.20 / $782.59 / $1,079.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.59 / $951.54 / $1,097.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.95 / $865.87 / $1,097.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,561.47 / $6,561.47 / $6,561.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.39 / $1,029.47 / $1,668.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,431.00 / $12,296.00 / $17,380.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.50 / $982.15 / $1,557.56