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Utah rates for HCPCS 58290

Vaginal Hysterectomy Uterus > 250 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.68 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,266.30 / $1,500.68 / $2,007.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,359.00 / $1,600.14 / $2,597.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.03 / $705.81 / $1,066.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,230.43 / $14,327.60 / $20,879.41
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,507.36 / $1,983.10 / $2,486.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.18 / $1,307.20 / $2,409.12