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Utah rates for HCPCS 86294

Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $134.90 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $19.95 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $22.39 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $29.51 / $38.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $79.43 / $123.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $21.88 / $22.91
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $24.55
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $22.39 / $38.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $12.88 / $16.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $11.48 / $21.88