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North Carolina 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
$1,238.95 / $6,136.66 / $10,087.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.86 / $902.16 / $1,889.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.02 / $1,486.74 / $2,284.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.97 / $1,368.62 / $2,297.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.29 / $1,119.05 / $1,691.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.05 / $1,119.05 / $2,057.71
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.00 / $2,052.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,688.00 / $15,545.00 / $22,780.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.29 / $1,269.44 / $2,249.71
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,267.36 / $5,897.00 / $27,770.10
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,855.60 / $6,857.40 / $6,857.40