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Idaho 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
$1,180.05 / $5,519.00 / $30,184.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.52 / $984.26 / $1,102.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,781.66 / $7,272.33 / $9,472.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,550.00 / $12,152.00 / $12,233.00