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New Jersey 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
$895.84 / $5,889.51 / $11,321.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.45 / $900.09 / $1,583.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.65 / $1,405.86 / $2,628.05
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.58 / $1,425.83 / $1,705.66
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.26 / $1,018.30 / $2,020.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,378.00 / $8,305.00 / $14,121.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.91 / $1,178.83 / $2,110.59