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Nebraska 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
$5,463.36 / $10,506.16 / $21,899.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,093.16 / $10,968.31 / $20,590.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.40 / $992.58 / $7,772.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,052.17 / $1,392.00 / $3,093.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00