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Utah rates for HCPCS 58555

Hysteroscopy, diagnostic (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $4,168.69 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $316.23 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $6,309.57 / $6,309.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $316.23 / $588.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $436.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $5,128.61 / $12,022.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $416.87 / $630.96
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $323.59 / $660.69
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $446.68 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $6,309.57 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $281.84 / $501.19