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Missouri rates for HCPCS 58956

Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,320.13 / $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
$929.67 / $1,969.50 / $7,903.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$345.39 / $621.57 / $621.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00