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Utah rates for HCPCS 85301

Clotting inhibitors or anticoagulants; antithrombin III, antigen assay

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $87.10 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $8.91 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $9.55 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $12.30 / $20.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $38.90 / $57.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $9.12 / $9.77
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
$9.55 / $10.72 / $20.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $5.37 / $7.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $6.46 / $14.79