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New Mexico 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
$1,000.00 / $7,838.38 / $8,942.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.00 / $916.11 / $2,315.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.84 / $1,125.84 / $1,125.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.36 / $1,367.34 / $1,739.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $269.00 / $1,440.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.28 / $1,180.17 / $1,352.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,052.71 / $1,373.10 / $1,739.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,602.00 / $9,127.00 / $10,150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.50 / $1,403.64 / $2,173.28