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Utah rates for HCPCS 58661

Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $8,128.31 / $15,488.17
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,073.80 / $7,244.36 / $15,848.93
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $9,772.37 / $21,877.62
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$12,589.25 / $14,791.08 / $33,113.11
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,000.00 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $5,128.61 / $15,848.93