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Missouri rates for HCPCS 58960

Lapt Stg/Restg Ovarian Tubal/Prim Mal 2nd Look

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $5,560.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.84 / $946.63 / $989.05
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
$924.00 / $1,193.80 / $1,788.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.65 / $1,418.37 / $2,462.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.84 / $1,449.53 / $6,144.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.21 / $1,515.23 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,209.00 / $4,390.00 / $12,989.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.67 / $1,294.31 / $2,126.26