go back

Utah rates for HCPCS 82077

Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $38.90 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.88 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $15.14 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $22.39 / $26.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $51.29 / $83.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $14.79 / $15.49
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $54.95
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $15.14 / $25.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $8.71 / $11.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $13.80