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Utah rates for HCPCS 0042U

Borrelia burgdorferi, antibody detection of 12 recombinant protein groups, by immunoblot, IgG

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $83.18 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $15.14 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $15.14 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.42 / $20.42
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
$14.79 / $20.42 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $16.22 / $19.50
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $50.12
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $15.14 / $25.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $10.23