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Utah rates for HCPCS 58152

Tot Abd Hyst W/Wo Rmvl Tube Ovary W/Colpurethrxy

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