go back

Utah rates for HCPCS 86255

Fluorescent noninfectious agent antibody; screen, each antibody

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $154.88 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.47 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $10.47 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $19.05 / $51.29
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $43.65 / $63.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $10.23 / $10.72
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $12.02 / $38.02
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $14.45 / $18.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $8.51 / $23.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $6.92 / $7.24