go back

Wisconsin rates for HCPCS 58146

Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $2,344.23 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,348.96 / $4,677.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $18,197.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $2,187.76 / $5,128.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $3,467.37 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $3,467.37 / $3,890.45
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $6,918.31 / $13,489.63
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,818.38 / $3,467.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $6,309.57 / $12,302.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,995.26 / $8,511.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,548.82
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $2,570.40 / $3,548.13
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $9,120.11 / $9,120.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $5,623.41 / $8,317.64
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,818.38
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $6,165.95 / $6,165.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $10,232.93 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,778.28 / $4,897.79