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Alaska rates for HCPCS 58140

Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.12 / $13,413.92 / $20,143.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.63 / $1,007.72 / $4,855.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,152.44 / $3,152.44 / $3,152.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.01 / $4,440.57 / $6,350.02
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,240.80 / $5,819.10 / $7,520.76
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,463.75 / $4,017.95 / $5,713.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.01 / $4,440.57 / $6,350.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.55 / $4,038.00 / $5,838.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,409.17 / $3,782.94 / $5,663.66