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Utah rates for HCPCS 58670

Laparoscopy, surgical; with fulguration of oviducts (with or without transection)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $6,918.31 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $416.87 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $501.19 / $776.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $630.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $9,772.37 / $21,877.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $645.65 / $794.33
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $588.84 / $776.25
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $575.44 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $5,128.61 / $15,848.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $416.87 / $776.25