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Utah rates for HCPCS 84481

Triiodothyronine T3; free

Facilitymedian $95 · 10th–90th $51–$1480%20%10th90th$95Professionalmedian $15 · 10th–90th $12–$190%20%40%10th90th$15$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
$52.48 / $95.50 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $14.79 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $17.78 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $22.91 / $31.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $75.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $14.45 / $15.14
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $16.98 / $53.70
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $16.98 / $25.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $10.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $23.44