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Utah rates for HCPCS 0304U

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; normoxic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,868.22 / $9,789.46 / $12,834.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,370.03 / $1,639.88 / $2,387.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,774.29 / $1,824.86 / $5,719.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,385.08 / $2,385.08 / $2,981.34
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
$2,138.07 / $2,387.17 / $2,387.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,588.92 / $1,624.11 / $1,765.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.84 / $871.84 / $1,245.48