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Missouri rates for HCPCS 58553

Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,309.57 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,288.25 / $3,630.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,445.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $8,511.38 / $15,848.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,412.54 / $2,089.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,122.02 / $1,819.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $11,748.98 / $22,908.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,548.82 / $2,398.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $3,630.78 / $13,489.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,621.81 / $8,912.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,370.32 / $12,882.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,348.96 / $2,137.96