go back

Tennessee 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
$947.10 / $3,004.50 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.00 / $947.10 / $1,328.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,895.00 / $7,097.00 / $13,623.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.40 / $1,060.29 / $1,721.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.36 / $1,156.56 / $1,838.70
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,267.36 / $27,770.10 / $27,770.10
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,855.60 / $6,029.68 / $6,857.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,959.00 / $8,273.00 / $12,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.78 / $1,192.08 / $1,698.62