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Utah rates for HCPCS 0176U

Cytolethal distending toxin B (CdtB) and vinculin IgG antibodies by immunoassay (ie, ELISA)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $309.03 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $51.29 / $67.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $91.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $77.62 / $295.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $54.95 / $57.54
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $64.57 / $186.21
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $56.23 / $95.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $32.36 / $41.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $51.29