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Missouri rates for HCPCS 58555

Hysteroscopy, diagnostic (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.35 / $3,001.00 / $8,022.00
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$23.13 / $36.61 / $70.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.36 / $278.16 / $620.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.26 / $228.26 / $228.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.00 / $2,504.00 / $6,337.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.10 / $287.86 / $465.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,770.00 / $8,072.00 / $11,191.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.95 / $323.88 / $647.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.65 / $358.05 / $5,991.00
Medica
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$138.36 / $138.36 / $138.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.06 / $592.45 / $2,665.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $3,018.00 / $6,038.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.06 / $422.19 / $926.61