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Nebraska 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
$5,463.36 / $10,506.16 / $21,899.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.88 / $745.88 / $4,276.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,718.25 / $13,170.73 / $24,724.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.72 / $1,223.38 / $1,631.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,495.64 / $1,858.66 / $2,433.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$745.88 / $1,305.29 / $17,344.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.92 / $1,738.51 / $6,029.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,495.64 / $2,001.50 / $8,854.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.56 / $1,858.66 / $2,433.00
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
$6,777.00 / $8,220.00 / $9,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.74 / $1,800.63 / $2,220.16