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Utah rates for HCPCS 58752

Tubouterine Implantation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,103.00 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.34 / $1,103.00 / $1,584.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.54 / $1,262.50 / $1,705.30
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
$1,190.13 / $1,505.17 / $1,803.02
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
$860.53 / $1,032.00 / $1,892.89