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Utah rates for HCPCS 58323

Sperm Washing Artificial Insemination

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.23 / $22.55 / $111.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.56 / $16.23 / $22.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.42 / $19.89 / $25.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.97 / $28.59 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.83 / $377.82 / $550.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.41 / $22.92 / $28.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.00 / $4,445.00 / $4,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.85 / $17.85 / $32.40