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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
$234.42 / $1,258.93 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $234.42 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $229.09 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $1,202.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $263.03
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $263.03
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $229.09 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $154.88