go back

Utah rates for HCPCS 58540

Hysteroplasty, repair of uterine anomaly (Strassman type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $6,025.60 / $10,232.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $912.01 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,202.26 / $1,905.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,584.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,584.89 / $1,949.84
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,445.44 / $1,905.46
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,412.54 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,023.29 / $1,905.46