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Louisiana 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
$941.00 / $2,859.00 / $6,144.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.63 / $1,131.73 / $1,638.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.73 / $1,023.73 / $1,023.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,905.05 / $6,954.07 / $10,072.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.05 / $1,242.96 / $1,652.29
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.96 / $1,102.20 / $1,801.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $8,257.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.10 / $1,212.29 / $1,971.09