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Utah rates for HCPCS 86665

Antibody; Epstein-Barr (EB) virus, viral capsid (VCA)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $74.13 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $16.98 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $15.85 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $20.42 / $34.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $33.11 / $95.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $15.49 / $16.22
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $18.20 / $57.54
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $15.85 / $22.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $9.12 / $11.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $10.72 / $12.02