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Missouri rates for HCPCS 58673

Laparoscopy, surgical; with salpingostomy (salpingoneostomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,507.00 / $6,167.00 / $12,292.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.20 / $757.87 / $874.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,404.79 / $5,938.00 / $14,259.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.63 / $1,075.48 / $1,517.72
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
$683.18 / $1,189.14 / $2,028.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.44 / $1,452.61 / $26,542.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.47 / $1,255.10 / $6,544.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,566.00 / $12,601.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.55 / $1,081.86 / $1,996.23