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Missouri rates for HCPCS 58670

Laparoscopy Fulguration Oviducts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $5,325.00 / $12,292.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.19 / $362.53 / $540.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.35 / $358.35 / $358.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,410.00 / $6,000.00 / $14,363.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.87 / $486.16 / $706.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,806.00 / $11,477.00 / $20,055.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.36 / $543.41 / $931.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.33 / $674.29 / $18,385.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.80 / $578.55 / $2,806.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,963.00 / $12,601.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.82 / $501.54 / $909.73