go back

Utah rates for HCPCS 0202U

Infectious disease (bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), qualitative RT-PCR, nasopharyngeal swab, each pathogen reported as detected or not detected

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $446.68 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $363.08 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $389.05 / $501.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $1,258.93 / $1,995.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $380.19 / $588.84
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $416.87
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $416.87 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $173.78 / $251.19