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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
$691.83 / $3,715.35 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $602.56 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $660.69 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,096.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $912.01 / $3,548.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $645.65 / $676.08
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $758.58 / $2,187.76
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $676.08 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $602.56