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Texas 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
$1,258.93 / $4,897.79 / $13,182.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $7,762.47 / $14,791.08
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $6,025.60 / $13,182.57
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $7,079.46 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $7,943.28 / $7,943.28
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $50,118.72 / $50,118.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,737.80 / $8,511.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,148.15 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $6,760.83 / $13,803.84