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South 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
$4,230.58 / $14,595.34 / $29,068.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,952.92 / $8,688.18 / $14,940.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,639.40 / $3,639.40 / $4,676.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.00 / $1,210.55 / $1,953.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,959.00 / $23,485.00