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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 / $1,778.28 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $74.13 / $169.82
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$54.95 / $54.95 / $54.95
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$28.84 / $28.84 / $28.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $85.11 / $104.71
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$23.44 / $23.44 / $23.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,819.70 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $74.13 / $117.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $70.79 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $89.13 / $144.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $100.00 / $912.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $117.49 / $549.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $691.83 / $1,380.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $74.13 / $120.23