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Utah rates for HCPCS 86617

Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $138.04 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $18.20 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $13.49 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $17.78 / $29.51
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $56.23 / $81.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $13.18 / $13.80
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $15.49 / $48.98
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $15.49 / $29.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $7.76 / $10.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $9.12 / $21.38