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Utah rates for HCPCS 58552

Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,687.14 / $8,325.79 / $15,463.41
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,734.45 / $19,517.43 / $28,442.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,753.00 / $15,824.00