go back

Utah rates for HCPCS 58292

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $6,025.60 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,318.26 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,778.28 / $2,884.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $2,290.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $13,182.57 / $29,512.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,511.89 / $3,715.35
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $2,089.30 / $2,754.23
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,995.26 / $3,090.30
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
$1,230.27 / $1,479.11 / $2,754.23