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Utah rates for HCPCS 58558

Hysteroscopy Bx Endometrium&/Polypc W/Wo D&C

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.78 / $5,494.00 / $8,649.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$174.12 / $174.12 / $229.89
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$69.65 / $91.96 / $91.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.45 / $459.78 / $2,372.46
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$53.50 / $91.96 / $375.27
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
$317.94 / $421.19 / $2,374.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.32 / $1,016.69 / $1,260.51
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
$334.58 / $587.36 / $1,912.24
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
$388.96 / $1,386.35 / $2,851.92