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Utah rates for HCPCS 86701

Antibody; HIV-1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $61.66 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.08 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.76 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $10.00 / $16.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $30.20 / $46.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.59 / $7.94
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $8.71 / $8.71
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.94 / $14.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $4.47 / $5.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $5.25 / $6.03