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Utah rates for HCPCS 0015M

Adrenal cortical tumor, biochemical assay of 25 steroid markers, utilizing 24-hour urine specimen and clinical parameters, prognostic algorithm reported as a clinical risk and integrated clinical steroid risk for adrenal cortical carcinoma, adenoma, or other adrenal malignancy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.83 / $6,156.11 / $8,071.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.83 / $1,174.83 / $1,174.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,115.76 / $1,147.56 / $3,596.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,566.44 / $1,566.44 / $1,566.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,305.36 / $1,501.18 / $1,566.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.36 / $1,502.13 / $1,951.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.26 / $548.26 / $783.22