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Utah rates for HCPCS 86709

Hepatitis A antibody (HAAb), IgM antibody

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $63.10 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $10.00 / $14.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $10.00 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $13.18 / $21.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $40.74 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $9.55 / $10.00
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $11.22 / $35.48
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $11.22 / $21.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $5.62 / $7.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $6.61 / $15.49