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Indiana 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
$558.90 / $1,386.00 / $16,042.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,278.00 / $7,581.00 / $14,620.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.91 / $658.81 / $760.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,243.79 / $2,243.79 / $2,243.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,094.00 / $10,413.00