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Utah rates for HCPCS 80220

Drug Assay Hydroxychloroquine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.78 / $87.93 / $115.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.26 / $13.98 / $19.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.94 / $16.39 / $51.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $26.85
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.64 / $21.44 / $75.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.27 / $15.19 / $21.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.83 / $7.83 / $11.18