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Georgia 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
$1,535.24 / $6,887.71 / $10,897.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.73 / $1,308.85 / $2,577.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,682.80 / $1,682.80 / $1,682.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,556.18 / $5,523.39 / $14,965.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.95 / $1,362.30 / $2,447.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $550.00 / $550.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.28 / $1,561.41 / $2,490.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.39 / $1,178.31 / $1,846.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.00 / $6,351.00 / $8,836.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.02 / $1,334.96 / $2,016.25