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Utah rates for HCPCS 58563

Hysteroscopy Endometrial Ablation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,208.66 / $5,824.00 / $9,051.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.02 / $683.64 / $2,847.69
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
$338.98 / $2,015.11 / $3,578.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,315.54 / $1,621.57 / $2,103.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,294.75 / $9,430.81 / $13,743.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.37 / $755.46 / $3,029.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $5,824.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,723.90 / $2,405.89 / $4,003.92