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Missouri rates for HCPCS 58573

Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,736.70 / $7,105.35 / $13,308.00
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
$1,084.49 / $2,209.00 / $12,989.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$308.48 / $2,632.21 / $2,632.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,738.00 / $7,472.00 / $13,588.00