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Utah rates for HCPCS 58611

Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,162.28 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $93.33 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $104.71 / $162.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $616.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $131.83 / $933.25
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $117.49 / $162.18
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $114.82 / $165.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $89.13 / $158.49