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Utah rates for HCPCS 58673

Laparoscopy Salpingostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.81 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.79 / $1,042.81 / $1,382.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.72 / $1,146.50 / $1,733.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $573.61 / $738.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,573.09 / $19,517.43 / $28,442.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.70 / $1,390.08 / $1,757.87
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
$763.95 / $997.04 / $1,717.62