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North Carolina 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
$2,553.73 / $8,399.90 / $13,077.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$853.36 / $1,140.31 / $1,844.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,293.00 / $12,216.00 / $19,066.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,845.07 / $16,223.75 / $26,542.00