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Utah rates for HCPCS 32658

Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $3,388.44 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $831.76 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $977.24 / $1,548.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,412.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,230.27 / $5,623.41
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,122.02 / $1,479.11
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,071.52 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $831.76 / $1,479.11