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Missouri rates for HCPCS 58661

Laparoscopy W/Rmvl Adnexal Structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,073.20 / $6,960.00 / $12,579.00
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$6,960.00 / $6,960.00 / $6,960.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,370.51 / $8,654.00 / $12,831.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,404.79 / $5,938.00 / $14,259.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,806.00 / $11,477.00 / $20,055.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.86 / $1,193.91 / $18,385.93
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,721.38 / $10,296.00 / $11,452.50
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$165.08 / $1,537.78 / $1,537.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,963.00 / $12,601.00