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New Jersey 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
$840.74 / $6,986.00 / $12,080.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.26 / $828.00 / $1,368.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.14 / $1,239.18 / $2,325.51
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.61 / $1,258.30 / $1,505.95
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,904.34 / $25,311.77 / $28,778.74
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.19 / $924.07 / $1,626.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,682.00 / $10,536.00 / $23,291.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.44 / $1,040.32 / $1,855.90