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Missouri rates for HCPCS 58267

Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.00 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.37 / $1,022.35 / $1,173.03
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
$1,035.68 / $1,333.94 / $2,021.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.56 / $1,569.45 / $2,692.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$823.37 / $1,565.48 / $6,922.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.53 / $1,673.30 / $7,932.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,527.00 / $9,185.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.57 / $1,429.13 / $2,378.92