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Utah rates for HCPCS 58572

Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,494.69 / $8,188.00 / $12,290.00
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 / $15,174.00