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Utah rates for HCPCS 86364

Tissue transglutaminase, each immunoglobulin (Ig) class

Facilitymedian $52 · 10th–90th $21–$1050%10%10th90th$52Professionalmedian $10 · 10th–90th $8–$200%20%40%10th90th$10$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $52.48 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.00 / $20.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $12.02 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $13.18 / $16.60
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $46.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $9.77 / $10.47
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $11.48 / $36.31
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $10.23 / $11.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $7.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $11.48