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Rhode Island rates for HCPCS 58674

Laps Abltj Uterine Fibroids W/Intraop Us Gdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,278.06 / $3,706.14 / $4,026.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.39 / $847.62 / $1,134.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.61 / $1,001.89 / $1,598.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $1,319.93 / $1,691.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,596.00 / $7,457.00 / $12,945.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.60 / $1,172.36 / $1,672.09