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Utah rates for HCPCS 58760

Fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,056.01 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.66 / $1,056.01 / $1,433.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.86 / $1,141.57 / $1,542.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.16 / $560.64 / $757.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.99 / $1,405.96 / $1,729.11
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
$761.95 / $989.27 / $1,761.41