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Missouri rates for HCPCS 58750

Tubotubal anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $4,677.35 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $912.01 / $2,238.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,786.30 / $10,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,148.15 / $1,698.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $912.01 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,258.93 / $1,949.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $1,659.59 / $6,606.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,318.26 / $7,244.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,019.95 / $5,011.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,096.48 / $1,737.80