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North Dakota 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
$724.44 / $812.83 / $10,232.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $851.14 / $1,230.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,778.28 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,513.56 / $2,454.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,122.02 / $2,454.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,445.44 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,041.74 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,445.44 / $2,041.74