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Oklahoma 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
$1,313.54 / $5,511.00 / $16,900.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.44 / $958.44 / $1,064.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.65 / $1,186.65 / $1,186.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,516.12 / $11,671.64 / $18,341.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.61 / $945.03 / $1,641.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.85 / $1,222.31 / $1,432.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$958.44 / $1,456.32 / $7,214.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.64 / $1,180.25 / $6,836.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,091.00 / $4,054.00 / $7,077.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.37 / $1,039.54 / $1,554.45