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Utah rates for HCPCS 58267

Vag Hyst 250 Gm/< W/Colpo-Urtcstopexy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,373.61 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.05 / $1,373.61 / $1,866.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.57 / $1,487.13 / $2,009.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.27 / $667.92 / $998.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,402.49 / $1,838.77 / $2,256.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.40 / $1,180.15 / $2,225.52