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Texas 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
$853.50 / $3,682.00 / $11,139.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,227.31 / $3,947.00 / $7,569.24
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.47 / $488.47 / $488.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,403.30 / $2,403.30 / $6,190.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,496.40 / $26,542.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.27 / $711.05 / $1,205.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.27 / $719.98 / $1,465.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,314.00 / $7,600.00