go back

Utah rates for HCPCS 58152

Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,622.87 / $4,387.00 / $9,932.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,349.77 / $1,622.87 / $2,157.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,463.82 / $1,719.42 / $2,324.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.77 / $759.62 / $1,162.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,620.50 / $2,189.58 / $2,666.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.22 / $1,520.66 / $2,616.48