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Missouri rates for HCPCS 58671

Laparoscopy W/Plmt Occlusion Device Oviducts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.72 / $4,919.00 / $12,292.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.19 / $362.53 / $540.70
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
$365.21 / $485.44 / $706.96
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 / $849.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.43 / $652.33 / $18,385.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.08 / $577.49 / $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
$362.93 / $494.41 / $908.92