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Missouri rates for HCPCS 58615

Occlusion Flp Tube Dev Vag/Suprapubic Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $4,261.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.23 / $242.22 / $276.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $319.00 / $481.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.24 / $388.11 / $626.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.23 / $373.55 / $3,881.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.75 / $391.72 / $2,806.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,874.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.44 / $343.56 / $650.36