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Utah rates for HCPCS 58565

Hysteroscopy Bi Tube Occlusion W/Perm Implnts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.40 / $4,387.00 / $7,568.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.90 / $1,493.55 / $2,405.41
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
$546.52 / $1,800.10 / $3,008.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.96 / $1,056.06 / $1,462.16
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
$669.16 / $947.92 / $3,247.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $5,824.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,704.45 / $2,167.67 / $3,832.20