go back

Maine rates for HCPCS 58146

Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,173.58 / $1,173.58 / $25,356.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.55 / $1,173.58 / $1,776.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,268.63 / $22,395.57 / $25,253.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,283.11 / $1,529.70 / $2,209.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,399.73 / $1,648.90 / $2,499.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,284.57 / $1,654.42 / $2,537.96
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,356.75 / $25,356.75 / $25,356.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.55 / $1,173.58 / $1,842.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,341.99 / $1,710.33 / $2,525.06