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Utah rates for HCPCS 58662

Laps Fulg/Exc Ovary Viscera/Peritoneal Surface

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,702.66 / $6,913.00 / $9,893.29
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$8,548.59 / $8,548.59 / $8,548.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,370.62 / $10,940.20 / $15,943.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,753.00 / $15,824.00