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Utah rates for HCPCS 58573

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

Facilitymedian $10,000 · 10th–90th $3,467$14,1250%10%10th90th$10,000Professionalmedian $1,778 · 10th–90th $1,202$2,1880%20%10th90th$1,778$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
$3,467.37 / $10,000.00 / $13,803.84
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
$1,202.26 / $1,778.28 / $2,187.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $13,182.57 / $15,848.93