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Utah rates for HCPCS 58752

Tubouterine implantation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $6,025.60 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $912.01 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,202.26 / $1,862.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,621.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,548.82 / $1,862.09
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,445.44 / $1,905.46
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,380.38 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,128.61 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,023.29 / $1,905.46