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Utah rates for HCPCS 86277

Growth hormone, human (HGH), antibody

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $107.15 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.02 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $13.80 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $18.20 / $30.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $57.54 / $83.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $13.49 / $14.13
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $15.85 / $50.12
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $15.85 / $23.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $10.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $9.33 / $21.88