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Missouri rates for HCPCS 58263

Vag Hyst 250 Gm/< W/Rmvl Tube Ovary W/Rpr Ntrcl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,319.68 / $5,560.00 / $10,255.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,650.00 / $10,043.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.62 / $1,473.00 / $7,042.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,502.00 / $9,185.00