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Utah rates for HCPCS 86645

Antibody; cytomegalovirus (CMV), IgM

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $64.57 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $14.79 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $14.79 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $19.50 / $32.36
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $33.11 / $89.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $14.45 / $15.14
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $16.98 / $53.70
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $14.79 / $22.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $8.51 / $10.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $10.00 / $23.44