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Louisiana rates for HCPCS 58546

Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $3,200.00 / $7,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.05 / $1,368.08 / $1,980.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,981.51 / $12,270.10 / $18,982.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,443.86 / $1,504.58 / $1,996.70
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,129.21 / $1,372.43 / $2,154.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $5,780.00 / $12,353.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.15 / $1,426.47 / $2,387.39