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Illinois 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
$1,017.00 / $4,622.00 / $16,417.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,523.19 / $10,460.78 / $21,162.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,855.00 / $11,477.00 / $12,682.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.93 / $1,549.43 / $4,200.25
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $5,978.00 / $12,241.00