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Ohio 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
$1,530.08 / $7,584.00 / $17,682.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,409.00 / $5,129.00 / $25,522.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$855.27 / $1,026.32 / $1,270.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,093.00 / $7,093.00 / $15,785.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.00 / $6,578.00 / $10,075.00