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Pennsylvania rates for HCPCS 58140

Myomectomy 1-4 Myomas W/250 Gm/< Abdominal Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.08 / $5,254.00 / $10,527.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.52 / $916.11 / $2,081.92
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,682.80 / $1,682.80 / $1,682.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,459.92 / $25,716.00 / $39,341.64
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.58 / $1,278.97 / $1,709.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.00 / $1,187.55 / $1,884.05
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.31 / $1,445.50 / $1,445.50
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,113.03 / $7,233.20 / $11,800.98
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.68 / $5,526.00 / $11,083.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.63 / $1,022.20 / $2,546.78
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,229.40 / $2,362.90
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.50 / $1,201.36 / $1,941.30
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.89 / $919.89 / $929.83
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.63 / $927.64 / $966.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,222.00 / $3,475.00 / $6,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.38 / $1,171.18 / $1,825.60