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Definitive Test For A Substance Without Its Own Test

Utah rates for HCPCS 80377

A laboratory test that confirms and measures a specific drug or substance in a sample when that substance has no standard named test of its own. The laboratory identifies exactly what is present and how much, rather than simply flagging that something from a broad group may be there.

Facilitymedian $214 · 10th–90th $195$2400%20%40%10th90th$214Professionalmedian $28 · 10th–90th $10$520%20%10th90th$28$2.0$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$213.80
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$52.48
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.70
Median
$1.70
Typical High
$1.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$11.48
Typical High
$37.15
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$28.18
Typical High
$43.65
Select Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$28.18
Typical High
$30.90
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$15.49
United
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$10.23
Typical High
$25.70