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Utah rates for HCPCS 58570

Laparoscopy W Total Hysterectomy Uterus 250 Gm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,201.86 / $8,614.00 / $18,750.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,290.00 / $12,290.00 / $12,290.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,734.45 / $19,517.43 / $28,442.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $12,290.00 / $15,824.00