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Pennsylvania 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
$1,479.11 / $7,413.10 / $15,135.61
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $10,000.00 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $16,982.44 / $43,651.58
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $6,918.31 / $14,125.38
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,819.70
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $5,011.87 / $18,620.87