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Oklahoma 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
$1,346.00 / $4,728.00 / $14,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.48 / $835.48 / $843.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,566.31 / $13,539.58 / $21,558.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.10 / $826.67 / $1,247.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,321.00 / $2,321.00 / $2,321.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.12 / $1,098.45 / $1,275.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$835.48 / $4,000.00 / $14,587.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.88 / $1,045.34 / $6,029.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $7,074.00 / $13,541.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.68 / $940.06 / $1,367.36