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Utah rates for HCPCS 86664

Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA)

Facilitymedian $52 · 10th–90th $23$1000%10%10th90th$52Professionalmedian $14 · 10th–90th $11$170%20%40%10th90th$14$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
$25.70 / $53.70 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $13.80 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $15.85 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $10.47 / $29.51
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $69.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $12.88 / $13.80
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $15.14 / $47.86
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $13.49 / $20.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $10.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $9.12 / $21.38