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Utah rates for HCPCS 83704

Lipoprotein Blood Quan Numbers & Subclasses

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.94 / $114.97 / $150.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.74 / $28.18 / $35.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.22 / $30.05 / $94.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.79 / $39.24 / $49.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.19 / $39.32 / $141.99
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.17 / $27.95 / $39.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.36 / $18.64 / $20.51