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Missouri rates for HCPCS 57160

Fitting and insertion of pessary or other intravaginal support device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $2,507.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.85 / $70.59 / $169.58
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$20.93 / $28.55 / $36.50
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$8.36 / $11.42 / $14.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.38 / $74.39 / $119.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.76 / $91.34 / $156.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.68 / $88.29 / $747.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.80 / $124.63 / $552.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $760.00 / $1,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.20 / $92.73 / $190.19