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Utah rates for HCPCS 0002U

Oncology (colorectal), quantitative assessment of three urine metabolites (ascorbic acid, succinic acid and carnitine) by liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring acquisition, algorithm reported as likelihood of adenomatous polyps

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $120.23 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $21.88 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $21.88 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $45.71 / $120.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $23.99 / $28.18
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $25.12
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $21.88 / $37.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.47 / $15.14