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Utah rates for HCPCS 58563

Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $6,309.57 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $1,318.26 / $4,265.80
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
$295.12 / $1,548.82 / $3,548.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,445.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $8,511.38 / $19,498.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $758.58 / $3,311.31
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $1,905.46 / $3,890.45
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $2,570.40 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $6,309.57 / $8,128.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $741.31 / $3,019.95