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Missouri rates for HCPCS 58805

Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $4,261.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.13 / $409.47 / $623.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.30 / $494.47 / $779.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.49 / $618.20 / $1,048.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.13 / $627.00 / $3,972.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.18 / $654.91 / $3,827.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.00 / $2,874.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.28 / $574.39 / $1,066.70