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Utah rates for HCPCS 0058U

Oncology (Merkel cell carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $1,737.80 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $302.00 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $281.84 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
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
$323.59 / $588.84 / $1,698.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $323.59 / $407.38
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $323.59
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $281.84 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $151.36 / $194.98