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Utah rates for HCPCS 58140

Myomectomy 1-4 Myomas W/250 Gm/< Abdominal Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,192.93 / $4,387.00 / $9,932.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.63 / $1,192.93 / $2,067.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.79 / $1,296.28 / $1,731.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.79 / $647.73 / $882.99
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.83 / $1,610.70 / $1,965.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.36 / $1,211.40 / $1,997.34