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Utah rates for HCPCS 0109U

Infectious disease (Aspergillus species), real-time PCR for detection of DNA from 4 species (A. fumigatus, A. terreus, A. niger, and A. flavus), blood, lavage fluid, or tissue, qualitative reporting of presence or absence of each species

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $691.83 / $912.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $128.82 / $177.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $125.89 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
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
$120.23 / $169.82 / $660.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $131.83 / $162.18
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $141.25
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $125.89 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $85.11