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Utah rates for HCPCS 58345

Transcerv Fallopian Tube Cath W/Wo Hystosalping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.63 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.65 / $363.63 / $504.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.34 / $401.63 / $543.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.55 / $241.01 / $299.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $5,927.75 / $8,638.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.89 / $483.71 / $593.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.14 / $319.66 / $595.44