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Utah rates for HCPCS 84165

Protein; electrophoretic fractionation and quantitation, serum

Facilitymedian $115 · 10th–90th $21–$1480%10%20%10th90th$115Professionalmedian $10 · 10th–90th $7–$120%20%40%10th90th$10$5.0$10.0$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
$50.12 / $120.23 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $9.55 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $11.22 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $17.38 / $50.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $47.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $9.12 / $9.55
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $10.72 / $33.88
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $11.48 / $16.22
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $8.51 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $6.46