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Missouri rates for HCPCS 58290

Vaginal Hysterectomy Uterus > 250 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $5,144.00 / $10,255.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.59 / $1,122.77 / $1,773.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,650.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,129.30 / $1,439.64 / $2,171.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.30 / $1,706.04 / $2,809.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.39 / $1,684.16 / $8,722.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.56 / $1,800.93 / $8,525.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $4,362.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.27 / $1,591.02 / $3,170.88