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Utah rates for HCPCS 58750

Tubotubal anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.60 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.47 / $1,174.60 / $1,588.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.56 / $1,317.63 / $1,709.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.16 / $621.59 / $880.37
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.18 / $1,585.26 / $1,951.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.88 / $1,098.00 / $1,897.92