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Missouri rates for HCPCS 58552

Laparoscopy, surgical, with vaginal 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
$1,434.08 / $7,155.00 / $13,500.00
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 / $20,055.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$909.16 / $1,795.46 / $21,000.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$248.78 / $2,632.21 / $2,632.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,738.00 / $7,900.00 / $24,192.00