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Utah rates for HCPCS 81560

Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorithm reported as a rejection risk score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.66 / $3,021.70 / $3,961.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.88 / $506.18 / $749.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.66 / $563.27 / $1,765.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.38 / $736.38 / $920.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.95 / $736.84 / $768.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.45 / $522.29 / $544.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.11 / $269.11 / $384.44