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Utah rates for HCPCS 84165

Protein; electrophoretic fractionation and quantitation, serum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $120.23 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $9.55 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $9.33 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $17.78 / $48.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $38.90 / $56.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $9.12 / $9.55
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $10.72 / $33.88
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $12.88 / $16.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $8.51 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $6.17 / $15.14