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Utah rates for HCPCS 57522

Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $4,466.84 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $316.23 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $354.81 / $549.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $549.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $5,128.61 / $12,022.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $457.09 / $549.54
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $426.58 / $588.84
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $407.38 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $5,128.61 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $302.00 / $524.81