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Utah rates for HCPCS 83916

Oligoclonal immune (oligoclonal bands)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.47 / $133.72 / $197.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $21.23 / $29.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.41 / $24.07 / $75.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.62 / $31.80 / $39.75
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.39 / $31.50 / $110.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.97 / $22.25 / $31.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.50 / $11.50 / $28.09