go back

Utah rates for HCPCS 58960

Lapt Stg/Restg Ovarian Tubal/Prim Mal 2nd Look

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.01 / $4,387.00 / $9,932.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,144.39 / $1,202.01 / $1,725.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.07 / $1,374.22 / $2,862.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.27 / $631.16 / $967.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.67 / $1,709.47 / $2,657.31
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
$923.67 / $1,130.58 / $2,015.28