go back

Utah rates for HCPCS 84255

Assay Of Selenium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.34 / $66.48 / $169.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.89 / $22.24 / $27.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.82 / $22.44 / $70.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.05 / $29.32 / $36.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.53 / $29.36 / $114.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.54 / $20.89 / $29.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $15.09 / $15.32