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Utah rates for HCPCS 0255U

Andrology Infertility Sperm Capacitation Assmt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.44 / $149.03 / $195.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.86 / $25.28 / $36.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.01 / $27.78 / $87.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.34 / $36.34 / $45.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.54 / $36.34 / $37.92
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.19 / $24.75 / $26.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.27 / $13.27 / $18.96