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West 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
$766.30 / $766.30 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.01 / $766.30 / $902.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.99 / $863.99 / $1,054.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.31 / $937.31 / $937.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.52 / $930.52 / $930.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.81 / $1,159.52 / $3,815.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.93 / $1,024.30 / $1,517.95