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Utah rates for HCPCS 83916

Oligoclonal immune (oligoclonal bands)

Facilitymedian $123 · 10th–90th $25–$1550%10%10th90th$123Professionalmedian $21 · 10th–90th $16–$290%20%10th90th$21$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $123.03 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $20.89 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $28.84 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $13.80 / $39.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $112.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $23.44 / $24.55
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $27.54 / $87.10
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $23.99 / $40.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $17.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $12.02 / $28.18