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North Carolina 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
$1,436.74 / $9,702.19 / $12,385.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.63 / $1,032.64 / $2,104.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.40 / $1,595.31 / $2,268.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.53 / $1,486.65 / $2,385.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$922.83 / $1,269.00 / $2,284.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.05 / $1,166.05 / $2,345.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,349.20 / $2,362.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,366.00 / $9,541.00 / $14,589.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.30 / $1,245.58 / $2,580.59
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,964.07 / $8,018.44
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,630.32 / $6,630.32 / $7,766.48