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Montana 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
$5,128.61 / $5,128.61 / $5,128.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,000.00 / $1,148.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $758.58 / $954.99