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Utah rates for HCPCS 86403

Particle agglutination; screen, each antibody

Facilitymedian $69 · 10th–90th $12–$3090%10%10th90th$69Professionalmedian $9 · 10th–90th $7–$120%20%10th90th$9$10.0$20.0$50.0$100.0$200.0$500.0

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 / $91.20 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $8.91 / $12.02
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
$5.37 / $6.92 / $19.50
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
$10.23 / $10.96 / $17.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $7.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $8.51 / $14.13