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California 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
$2,616.00 / $9,029.00 / $19,368.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,776.00 / $8,484.00 / $16,676.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $11,012.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,115.08 / $2,499.65 / $5,888.95
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.93 / $635.34 / $857.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.74 / $730.64 / $1,290.04
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,644.34 / $9,496.40 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.04 / $729.73 / $1,133.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,610.00 / $7,402.00 / $16,148.00