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Utah rates for HCPCS 0096U

Human papillomavirus (HPV), high-risk types (ie, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, 68), male urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $169.82 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $30.90 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.90 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $41.69
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
$29.51 / $41.69 / $162.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $32.36 / $39.81
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $35.48
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $30.90 / $52.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $20.89