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Utah rates for HCPCS 58615

Occlusion Flp Tube Dev Vag/Suprapubic Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.44 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.66 / $319.44 / $442.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.06 / $352.62 / $476.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.51 / $192.68 / $257.18
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $5,927.75 / $8,638.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.76 / $421.57 / $517.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.92 / $282.80 / $537.17