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Utah rates for HCPCS 0021U

Oncology (prostate), detection of 8 autoantibodies (ARF 6, NKX3-1, 5'-UTR-BMI1, CEP 164, 3'-UTR-Ropporin, Desmocollin, AURKAIP-1, CSNK2A2), multiplexed immunoassay and flow cytometry serum, algorithm reported as risk score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$684.00 / $3,584.16 / $4,699.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.60 / $600.40 / $874.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.61 / $668.12 / $2,094.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.50 / $873.50 / $1,091.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.00 / $874.00 / $1,383.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.74 / $594.59 / $646.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.20 / $319.20 / $456.00