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Utah rates for HCPCS 86364

Tissue Transglutaminase Ea Immunoglobulin Class

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.93 / $52.52 / $99.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.65 / $10.13 / $20.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.85 / $10.13 / $31.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.22 / $13.22 / $16.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.90 / $8.90 / $8.90
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.53 / $13.26 / $46.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.83 / $9.49 / $13.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $4.84 / $6.92