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Missouri rates for HCPCS 58760

Fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $5,144.00 / $9,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.25 / $784.97 / $901.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,490.00 / $10,961.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.66 / $1,024.75 / $1,551.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.97 / $1,204.26 / $2,071.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.25 / $1,232.89 / $4,553.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.77 / $1,286.26 / $7,017.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,708.00 / $3,502.00 / $6,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.30 / $1,108.58 / $2,022.32