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Missouri rates for HCPCS 58571

Laparoscopy, surgical, with total 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
$1,353.69 / $8,012.00 / $13,095.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,349.00 / $6,337.00 / $15,385.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,965.00 / $9,965.00 / $9,965.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$838.45 / $1,658.73 / $12,166.16
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$230.68 / $2,632.21 / $2,632.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $6,038.00 / $13,588.00