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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
$1,000.00 / $3,890.45 / $12,882.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,073.80 / $7,762.47
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $6,165.95 / $6,165.95
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $42,657.95 / $42,657.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $1,000.00 / $6,025.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $724.44 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $4,073.80 / $8,709.64