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Utah rates for HCPCS 58671

Laparoscopy W/Plmt Occlusion Device Oviducts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.71 / $4,207.12 / $7,568.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.36 / $473.71 / $736.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.09 / $514.87 / $699.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.05 / $276.75 / $351.85
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,370.62 / $10,940.20 / $15,943.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.55 / $629.60 / $776.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,753.00 / $15,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.88 / $411.93 / $768.25