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Utah rates for HCPCS 0259U

Nephrology (chronic kidney disease), nuclear magnetic resonance spectroscopy measurement of myo-inositol, valine, and creatinine, algorithmically combined with cystatin C (by immunoassay) and demographic data to determine estimated glomerular filtration rate (GFR), serum, quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.44 / $248.59 / $325.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.65 / $41.64 / $55.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.05 / $46.34 / $145.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.71 / $60.71 / $75.89
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
$52.71 / $60.62 / $63.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.35 / $41.15 / $44.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.14 / $22.14 / $31.63