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Missouri rates for HCPCS 58200

Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,440.00 / $5,691.00 / $12,154.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,232.00 / $4,864.00 / $12,691.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$920.04 / $1,949.45 / $9,185.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $5,275.00 / $11,343.00