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Utah rates for HCPCS 0184U

Red cell antigen (Dombrock blood group) genotyping (DO), gene analysis, ART4 (ADP-ribosyltransferase 4 [Dombrock blood group]) exon 2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $891.25 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $165.96 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $162.18 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
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
$158.49 / $223.87 / $870.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $165.96 / $186.21
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $537.03
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $162.18 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $112.20