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Pennsylvania 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
$1,027.83 / $4,264.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.69 / $1,155.25 / $2,113.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,107.61 / $2,107.61 / $2,107.61
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.27 / $1,604.05 / $2,126.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.50 / $1,476.10 / $2,325.46
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.93 / $1,809.42 / $1,809.42
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,631.34 / $13,423.83 / $46,699.91
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $5,194.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,016.00 / $1,259.13 / $3,067.95
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,228.00 / $1,589.20 / $2,911.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.06 / $1,495.26 / $2,496.44
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$979.94 / $1,138.31 / $1,173.02
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.94 / $1,148.40 / $1,193.95
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
$1,061.25 / $1,480.54 / $2,504.94