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Utah rates for HCPCS 58571

Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)

Facilitymedian $9,772 · 10th–90th $5,129–$20,4170%10%20%10th90th$9,772Professionalmedian $1,318 · 10th–90th $891–$1,6600%20%10th90th$1,318$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $9,772.37 / $20,417.38
Aetna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $13,182.57 / $13,182.57
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $20,417.38 / $30,902.95
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,318.26 / $1,659.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $13,182.57 / $15,848.93