go back

New York 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
$750.49 / $5,796.00 / $11,996.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,448.00 / $4,832.00 / $21,263.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.22 / $2,644.00 / $12,319.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.21 / $649.21 / $7,289.38
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $959.80 / $1,889.60
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,266.24 / $6,266.24 / $6,266.24
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $7,289.38 / $12,736.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,840.00 / $9,202.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.91 / $653.91 / $1,766.42