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Utah rates for HCPCS 0303U

Hematology, red blood cell (RBC) adhesion to endothelial/subendothelial adhesion molecules, functional assessment, whole blood, with algorithmic analysis and result reported as an RBC adhesion index; hypoxic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.46 / $10,382.79 / $13,612.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.07 / $1,739.28 / $2,531.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,881.83 / $1,935.46 / $6,066.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,529.63 / $2,529.63 / $3,162.03
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
$2,267.67 / $2,531.86 / $2,531.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,685.23 / $1,722.55 / $1,872.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.68 / $924.68 / $1,320.97