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Utah rates for HCPCS 86689

Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $131.83 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $15.14 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $16.98 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $22.39 / $37.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $70.79 / $102.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $16.60 / $17.38
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $19.50 / $61.66
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $19.50 / $37.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $9.77 / $12.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $11.48 / $26.92