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Utah rates for HCPCS 58210

Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,025.60 / $10,232.93
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,818.38 / $4,466.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $5,128.61 / $13,803.84