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Utah rates for HCPCS 81377

HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $190.55 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $77.62 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $83.18 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $114.82 / $173.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $346.74 / $489.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $95.50 / $158.49
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $165.96
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $83.18 / $141.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $52.48 / $56.23