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Idaho 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
$1,864.26 / $1,864.26 / $14,991.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,046.89 / $1,566.61 / $1,815.31
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,813.85 / $14,025.11 / $17,482.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,120.00 / $22,317.00 / $27,159.00