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Maine 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
Professional
Modifier
Low / Median / High Price
$813.63 / $940.34 / $1,424.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,268.63 / $22,395.57 / $25,253.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.02 / $1,222.88 / $1,766.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.60 / $1,317.14 / $2,021.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.09 / $1,321.54 / $2,027.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.63 / $940.34 / $1,697.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.75 / $1,328.70 / $1,831.43