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Vermont 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
Professional
Modifier
Low / Median / High Price
$813.63 / $1,171.82 / $4,855.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.29 / $1,521.58 / $3,325.17
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,228.77 / $1,524.68 / $3,325.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.47 / $1,308.68 / $4,081.28