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Arizona rates for HCPCS 58145

Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $4,521.00 / $7,960.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.35 / $3,532.98 / $5,814.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,084.43 / $3,084.43 / $3,084.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.90 / $734.61 / $3,790.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.00 / $3,339.00 / $5,838.00