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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
$46.77 / $257.04 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $41.69 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $46.77 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $75.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $52.48 / $245.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $44.67 / $47.86
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $52.48 / $151.36
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $46.77 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.30 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $42.66