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Utah rates for HCPCS 0351U

Infectious disease (bacterial or viral), biochemical assays, tumor necrosis factor-related apoptosis-inducing ligand (TRAIL), interferon gamma-induced protein-10 (IP-10), and C-reactive protein, serum, or venous whole blood, algorithm reported as likelihood of bacterial infection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.45 / $1,228.52 / $1,610.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.45 / $234.45 / $234.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.67 / $229.02 / $717.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.60 / $312.60 / $312.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.32 / $299.58 / $312.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.89 / $299.89 / $389.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.41 / $109.41 / $260.50