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Missouri rates for HCPCS 57155

Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy

Facilitymedian $3,981 · 10th–90th $1,047–$10,4710%5%10th90th$3,981Professionalmedian $389 · 10th–90th $251–$8130%10%10th90th$389$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $3,235.94 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $371.54 / $1,023.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $4,897.79 / $13,489.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $436.52 / $691.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $407.38 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $467.74 / $758.58
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $588.84 / $16,218.10
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $537.03 / $4,897.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,288.25 / $15,848.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $426.58 / $676.08