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California 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
$4,786.30 / $11,220.18 / $39,810.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $11,481.54 / $17,782.79
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $3,890.45 / $22,908.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $12,022.64 / $14,791.08
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $891.25 / $1,202.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,000.00 / $1,862.09
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $50,118.72 / $50,118.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,148.15 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $12,302.69 / $25,703.96