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Missouri rates for HCPCS 58542

Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.08 / $6,809.60 / $13,151.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $6,337.00 / $15,385.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,965.00 / $11,477.00 / $18,676.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.04 / $1,461.55 / $12,989.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$210.48 / $2,632.21 / $2,632.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,858.00 / $6,038.00 / $12,989.00