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Nebraska 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
$5,463.36 / $11,611.47 / $24,068.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.50 / $1,110.84 / $3,886.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,718.25 / $13,170.73 / $24,724.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.75 / $1,387.18 / $1,858.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,695.90 / $2,107.52 / $2,748.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$901.47 / $1,623.55 / $8,018.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,155.90 / $2,101.46 / $6,836.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,558.00 / $2,042.83 / $2,902.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,395.61 / $2,016.72 / $2,748.55
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
$5,341.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,225.95 / $2,040.68 / $2,500.60