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Utah rates for HCPCS 80155

Drug Assay Caffeine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.37 / $91.02 / $119.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.48 / $28.93 / $44.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.97 / $33.90 / $106.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $44.19 / $55.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.57 / $44.36 / $156.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.52 / $31.47 / $44.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $16.20 / $23.14