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Utah rates for HCPCS 58571

Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,312.00 / $9,299.95 / $18,321.32
Aetna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$602.53 / $602.53 / $602.53
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