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Missouri 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
$2,070.00 / $5,824.00 / $12,831.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.83 / $793.33 / $1,008.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,349.00 / $5,617.00 / $14,259.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.46 / $939.11 / $1,533.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,160.00 / $12,682.00 / $20,055.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.28 / $1,185.83 / $2,078.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.97 / $1,434.29 / $9,961.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.16 / $1,213.93 / $6,029.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $5,717.00 / $12,989.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.16 / $1,182.94 / $1,807.14