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Utah rates for HCPCS 58240

Pel Exntj Gynecologic Mal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,038.00 / $3,614.53 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,843.00 / $3,614.53 / $5,098.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.42 / $4,133.83 / $8,370.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.84 / $1,773.59 / $2,711.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,822.80 / $5,045.10 / $8,212.37
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
$2,765.73 / $3,350.41 / $6,034.32