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Massachusetts 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
$2,691.53 / $4,677.35 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,071.52 / $3,162.28
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $3,019.95 / $7,943.28
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,348.96 / $6,606.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,818.38 / $2,884.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,513.56 / $3,090.30
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,737.80 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $933.25 / $1,380.38
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,248.07 / $11,220.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,479.11 / $2,344.23
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $17,782.79
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $213.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $3,090.30 / $7,943.28
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,318.26 / $6,606.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $4,570.88 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,412.54 / $2,951.21