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Missouri rates for HCPCS 58976

Gamete, zygote, or embryo intrafallopian transfer, any method

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.71 / $3,158.00 / $8,230.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.99 / $212.32 / $257.19
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
$227.63 / $291.76 / $442.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,987.00 / $3,930.00 / $7,209.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.15 / $352.17 / $543.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.64 / $356.68 / $1,719.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.32 / $393.47 / $3,100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.00 / $718.00 / $1,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.53 / $343.98 / $605.74