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Tennessee 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
$637.34 / $2,794.39 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,358.00 / $3,927.00 / $5,878.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,644.34 / $9,496.40 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.00 / $3,616.00 / $6,285.00