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Utah rates for HCPCS 80169

Drug Assay Everolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.86 / $115.49 / $415.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.99 / $11.26 / $16.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.73 / $12.06 / $37.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.10 / $15.69 / $19.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.73 / $15.79 / $61.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.51 / $11.12 / $15.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $7.87 / $8.24