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Washington, DC 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
$1,614.00 / $4,833.00 / $9,719.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.52 / $781.52 / $1,891.27
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.00 / $1,096.09 / $2,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.80 / $1,273.83 / $2,414.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.54 / $2,092.01 / $2,092.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,648.00 / $3,378.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.30 / $1,366.85 / $2,428.08