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Michigan 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
$674.91 / $4,933.00 / $8,060.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,762.21 / $3,224.34 / $4,392.43
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.24 / $4,933.00 / $8,060.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,524.00 / $5,819.00 / $8,339.00