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Louisiana 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
$900.00 / $2,636.00 / $5,526.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.42 / $1,019.44 / $1,256.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,282.17 / $19,012.79 / $39,999.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.16 / $1,096.67 / $1,439.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.95 / $1,069.22 / $1,568.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $5,780.00 / $12,353.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.26 / $1,067.93 / $1,733.43