go back

Utah rates for HCPCS 78267

Urea breath test, C-14 (isotopic); acquisition for analysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $10.00 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $13.80 / $43.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $10.96 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $32.36 / $52.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $12.59 / $14.13
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.76 / $26.92
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $9.77 / $16.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $4.68 / $6.61