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Utah rates for HCPCS 82103

Alpha-1-antitrypsin; total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $33.88 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $11.75 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $11.75 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $15.85 / $25.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $48.98 / $70.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $11.48 / $12.02
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $13.49 / $42.66
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $13.49 / $25.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $6.76 / $8.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $7.94 / $18.62