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Utah rates for HCPCS 58674

Laps Abltj Uterine Fibroids W/Intraop Us Gdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,070.30 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.99 / $1,070.30 / $1,417.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.97 / $1,146.86 / $1,776.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.79 / $563.21 / $759.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,734.45 / $19,517.43 / $28,442.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.68 / $1,350.80 / $1,509.91
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
$781.44 / $929.20 / $1,704.96