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West 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
$3,050.00 / $27,089.55 / $27,089.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$958.32 / $1,074.04 / $1,170.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032.79 / $1,032.79 / $1,032.79
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.38 / $23,462.58 / $40,099.78