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Utah rates for HCPCS 58291

Vag Hyst > 250 Gm Rmvl Tube&/Ovary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,627.87 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,175.64 / $1,627.87 / $2,170.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,467.93 / $1,729.46 / $2,814.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.77 / $759.62 / $1,162.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,294.75 / $9,430.81 / $13,743.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,627.89 / $2,142.76 / $2,717.97
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
$1,051.26 / $1,328.40 / $2,610.00