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North Carolina 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
$594.24 / $8,801.00 / $15,558.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.07 / $706.69 / $1,413.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,526.00 / $7,659.00 / $10,502.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,644.34 / $9,496.40 / $26,542.00