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Utah rates for HCPCS 78130

Red cell survival study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $1,230.27 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $128.82 / $177.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $512.86 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $199.53 / $263.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $60.26 / $281.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,230.27 / $1,698.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $331.13 / $346.74
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $190.55 / $302.00
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $151.36 / $223.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $147.91 / $218.78