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Missouri rates for HCPCS 58575

Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,323.85 / $5,691.00 / $14,141.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,349.00 / $5,921.00 / $16,423.03
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
$1,000.00 / $2,804.03 / $10,833.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$489.99 / $881.80 / $881.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,839.00 / $13,588.00