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Utah rates for HCPCS 86663

Antibody; Epstein-Barr (EB) virus, early antigen (EA)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $56.23 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $11.48 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $11.48 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $15.14 / $25.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $33.11 / $69.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $11.22 / $11.75
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $13.18 / $41.69
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $11.48 / $19.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $6.61 / $8.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $7.76 / $18.20