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Utah rates for HCPCS 58573

Laparoscopy Tot Hysterectomy >250 G W/Tube/Ovar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,038.00 / $9,074.20 / $18,489.50
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