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Utah rates for HCPCS 58543

Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.38 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.26 / $1,270.38 / $1,470.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.00 / $1,258.31 / $1,583.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.79 / $573.62 / $791.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,734.45 / $19,517.43 / $28,442.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.71 / $1,442.04 / $2,093.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,680.00 / $9,753.00 / $15,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.88 / $1,108.05 / $1,753.92