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Missouri rates for HCPCS 58152

Tot Abd Hyst W/Wo Rmvl Tube Ovary W/Colpurethrxy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,440.00 / $5,691.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.58 / $1,181.83 / $1,363.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,232.00 / $4,864.00 / $12,691.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,242.08 / $1,632.00 / $2,429.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.90 / $1,841.73 / $3,184.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.29 / $1,809.69 / $8,722.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.50 / $1,967.25 / $9,166.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $5,275.00 / $11,343.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,282.38 / $1,656.50 / $2,776.69