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Utah rates for HCPCS 0257U

Vlcad Leukocyte Enzyme Activity Whole Blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.22 / $3,359.99 / $4,405.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.45 / $562.85 / $755.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.99 / $626.35 / $1,963.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.98 / $818.98 / $1,023.72
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
$733.84 / $819.34 / $854.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.36 / $557.34 / $605.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.24 / $299.24 / $427.48