go back

Missouri rates for HCPCS 58572

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,035.00 / $6,846.00 / $13,151.00
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
$912.68 / $1,897.64 / $12,989.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,738.00 / $7,472.00 / $13,588.00