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Utah rates for HCPCS 58974

Embryo transfer, intrauterine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $3,162.28 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $147.91 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $199.53 / $302.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $269.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,230.27 / $2,951.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $251.19 / $309.03
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $218.78 / $229.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,818.38 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $162.18 / $302.00