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Maryland 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
$47.57 / $930.25 / $6,632.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.02 / $691.69 / $1,570.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.90 / $1,037.36 / $1,185.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,162.83 / $5,162.83 / $5,162.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.15 / $1,108.84 / $2,093.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.48 / $1,089.38 / $1,815.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.92 / $960.53 / $1,658.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.73 / $971.15 / $1,198.61