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Washington 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
$1,071.52 / $8,912.51 / $19,952.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $3,981.07
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,348.96 / $8,511.38
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,096.48 / $1,148.15
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $794.33 / $794.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $8,912.51 / $16,982.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $11,220.18 / $19,498.45