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Virginia 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
$902.16 / $8,294.00 / $15,165.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.02 / $902.16 / $1,256.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,900.00 / $13,875.00 / $15,752.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.64 / $962.46 / $1,320.01
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.90 / $1,493.81 / $15,962.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.81 / $1,109.38 / $2,035.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.57 / $923.48 / $1,100.21
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.76 / $1,066.18 / $1,473.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.00 / $1,115.00 / $1,902.10
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$844.02 / $1,089.52 / $7,902.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.02 / $1,089.52 / $7,902.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,367.00 / $13,296.00 / $26,537.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.97 / $1,196.67 / $1,799.23