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Utah rates for HCPCS 58291

Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $6,025.60 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,258.93 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,659.59 / $2,691.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $2,187.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $8,511.38 / $19,498.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,344.23 / $3,548.13
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,949.84 / $2,630.27
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,905.46 / $2,884.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,412.54 / $2,630.27