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Utah rates for HCPCS 58540

Hysteroplasty Rpr Uterine Anomaly

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,180.70 / $4,387.00 / $9,932.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.37 / $1,180.70 / $1,600.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.05 / $1,275.29 / $1,723.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.79 / $647.73 / $882.99
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.19 / $1,578.32 / $1,941.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.48 / $959.20 / $1,912.32