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Utah rates for HCPCS 84154

Prostate specific antigen (PSA); free

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $95.50 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $16.60 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $19.05 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $20.89 / $35.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $67.61 / $97.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $15.49 / $16.60
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $18.20 / $57.54
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $18.20 / $34.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $9.12 / $12.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $10.96 / $25.70