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Maryland 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
$484.66 / $2,290.37 / $7,464.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,765.51 / $1,765.51 / $1,765.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.53 / $778.75 / $1,277.54