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Utah rates for HCPCS 84166

Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $158.49 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.49 / $24.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.85 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $21.38 / $61.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $64.57 / $93.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $15.14 / $15.85
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $17.78 / $56.23
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.85 / $26.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $8.91 / $11.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $10.23 / $10.72