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Utah rates for HCPCS 80170

Drug Screen Quantitative Gentamicin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.76 / $108.78 / $142.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.12 / $13.92 / $20.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.00 / $14.40 / $45.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.28 / $19.00 / $23.75
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.38 / $18.84 / $73.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.54 / $13.29 / $18.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.88 / $6.88 / $9.83