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Utah rates for HCPCS 83916

Oligoclonal immune (oligoclonal bands)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $123.03 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $20.89 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $23.99 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $31.62 / $39.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $81.28 / $131.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $23.44 / $24.55
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $27.54 / $87.10
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $23.99 / $40.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $17.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $12.02 / $27.54