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South Carolina 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
$2,454.71 / $12,022.64 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,023.29 / $2,089.30
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $691.83 / $1,288.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $6,606.93 / $8,511.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $912.01 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,202.26 / $1,949.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,258.93 / $2,089.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $12,882.50 / $23,442.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,096.48 / $1,698.24