go back

Utah rates for HCPCS 0055U

Cardiology (heart transplant), cell-free DNA, PCR assay of 96 DNA target sequences (94 single nucleotide polymorphism targets and two control targets), plasma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $15,848.93 / $20,417.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,884.03 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $2,818.38 / $8,912.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $3,890.45 / $3,890.45
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
$2,754.23 / $3,890.45 / $15,135.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,019.95 / $3,715.35
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $9,332.54
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,884.03 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,949.84