go back

Utah rates for HCPCS 58555

Hysteroscopy Diagnostic Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.36 / $3,160.00 / $5,824.00
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$49.47 / $49.47 / $69.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.03 / $260.55 / $452.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,824.00 / $5,824.00 / $5,824.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.41 / $312.99 / $594.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.20 / $284.76 / $369.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $5,927.75 / $8,638.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.03 / $418.64 / $573.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $5,824.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.66 / $333.36 / $666.72