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Arizona rates for HCPCS 58545

Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,086.00 / $6,219.00 / $10,407.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,269.46 / $5,269.46 / $5,269.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$858.46 / $1,139.65 / $7,168.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,613.00 / $6,477.00 / $9,010.00