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Utah rates for HCPCS 83704

Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $117.49 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $28.18 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $30.20 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $38.90 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $70.79 / $165.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $28.84 / $30.90
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $33.88 / $107.15
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $30.20 / $47.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $22.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $18.62 / $37.15