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Washington, DC 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
$1,614.00 / $6,792.00 / $8,043.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.02 / $2,046.58 / $2,046.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.00 / $4,165.00 / $26,408.00