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Utah rates for HCPCS 86381

Mitochondrial antibody (eg, M2), each

Facilitymedian $49 · 10th–90th $23–$1230%10%20%10th90th$49Professionalmedian $20 · 10th–90th $13–$260%20%10th90th$20$10.0$20.0$50.0$100.0

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
$22.91 / $51.29 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $19.95 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $26.30 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $29.51 / $36.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $102.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $21.88 / $22.91
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $25.70 / $81.28
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $22.39 / $25.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $16.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $25.70