go back

Connecticut 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
$4,458.68 / $9,623.87 / $19,099.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,517.00 / $17,206.00 / $27,764.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,010.28 / $16,010.28 / $28,385.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,944.00 / $10,417.00 / $16,323.00