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Texas 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
$1,088.36 / $3,982.00 / $12,941.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.63 / $936.70 / $1,589.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.50 / $795.50 / $795.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$906.83 / $1,511.00 / $6,055.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.18 / $1,092.44 / $1,522.01
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$797.56 / $797.56 / $797.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.92 / $1,278.06 / $1,957.98
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $8,018.44
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,630.32 / $6,836.88 / $7,766.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$892.94 / $1,198.61 / $2,000.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.22 / $1,371.37 / $1,613.38
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.40 / $1,229.40 / $1,229.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$893.50 / $1,198.61 / $2,047.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.04 / $1,296.58 / $2,050.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,345.00 / $10,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.22 / $1,026.64 / $1,651.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.98 / $874.17 / $1,206.23