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Utah rates for HCPCS 83021

Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $123.03 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $14.13 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $15.85 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $20.42 / $34.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $66.07 / $95.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $15.49 / $16.22
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $18.20 / $57.54
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $18.20 / $33.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $9.12 / $11.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $10.72 / $25.12