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Utah rates for HCPCS 86162

Complement Total Hemolytic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.73 / $51.28 / $135.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.24 / $17.72 / $23.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.37 / $17.87 / $56.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.78 / $23.54 / $29.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.32 / $23.37 / $91.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.55 / $16.55 / $23.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $12.01 / $12.19