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Missouri rates for HCPCS 58953

Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $4,470.00 / $12,154.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,490.00 / $10,961.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$958.00 / $2,705.45 / $7,903.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$507.12 / $913.13 / $913.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00