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Utah rates for HCPCS 58323

Sperm washing for artificial insemination

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $87.10 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $14.13 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $18.62 / $28.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $331.13 / $758.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $24.55 / $33.11
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $19.95 / $32.36
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $19.05 / $29.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $17.78 / $28.84