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Virginia 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
$1,338.16 / $8,284.19 / $17,106.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,525.00 / $11,065.00 / $12,418.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.58 / $1,024.30 / $1,263.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.51 / $1,185.82 / $1,639.17
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$864.96 / $1,188.83 / $6,585.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.00 / $11,671.00 / $21,639.00