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Utah rates for HCPCS 78121

Red cell volume determination (separate procedure); multiple samplings

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $1,659.59 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $95.50 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $691.83 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $138.04 / $154.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $33.11 / $173.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,584.89 / $2,187.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $199.53 / $223.87
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $144.54 / $186.21
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $114.82 / $173.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $93.33 / $138.04