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Utah rates for HCPCS 58553

Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,478.63 / $4,387.00 / $9,932.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.48 / $1,478.63 / $1,951.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.35 / $1,555.47 / $2,103.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.03 / $692.80 / $1,036.54
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
$1,466.02 / $1,975.33 / $2,432.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $15,000.00 / $15,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.09 / $1,293.20 / $2,426.19