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Utah rates for HCPCS 80155

Caffeine

Facilitymedian $93 · 10th–90th $17$1230%20%10th90th$93Professionalmedian $29 · 10th–90th $14$400%20%10th90th$29$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $93.33 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $28.84 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $40.74 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $18.20 / $54.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $154.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $33.11 / $34.67
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $38.90 / $123.03
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $33.88 / $39.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $25.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $16.22 / $22.91