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Utah rates for HCPCS 58240

Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with removal of bladder and ureteral transplantations, and/or abdominoperineal resection of rectum and colon and colostomy, or any combination thereof

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