go back

Utah rates for HCPCS 80195

Drug Screen Quantitative Sirolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.39 / $119.47 / $193.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $11.98 / $17.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.73 / $12.06 / $37.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.57 / $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 / $8.11 / $8.24