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New York 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
$1,242.00 / $6,962.00 / $16,624.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,634.00 / $8,113.00 / $21,263.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.89 / $4,275.50 / $16,534.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032.79 / $1,032.79 / $13,296.25
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,779.71 / $8,640.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,111.50 / $9,586.90 / $19,775.79
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $8,147.00 / $13,296.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,337.00 / $7,395.00 / $15,090.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032.95 / $1,032.95 / $3,020.55