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Missouri 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
$1,778.28 / $5,128.61 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,023.29 / $2,290.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,897.79 / $10,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,148.15 / $1,737.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $933.25 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,258.93 / $1,949.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $1,659.59 / $6,606.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,380.38 / $6,760.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,019.95 / $5,011.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,096.48 / $1,778.28