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Maryland 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
$994.37 / $6,687.47 / $12,445.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.52 / $994.37 / $2,546.78
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.64 / $1,123.13 / $1,358.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.80 / $1,249.65 / $2,410.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.41 / $1,272.03 / $2,083.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.22 / $1,097.15 / $1,887.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.04 / $1,099.86 / $1,357.40