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Utah rates for HCPCS 58263

Vag Hyst 250 Gm/< W/Rmvl Tube Ovary W/Rpr Ntrcl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,291.15 / $4,387.00 / $9,403.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,294.75 / $9,430.81 / $13,743.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00