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Utah rates for HCPCS 86753

Antibody; protozoa, not elsewhere specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $56.23 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.96 / $22.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $10.96 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $14.13 / $23.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $33.11 / $66.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $10.47 / $11.22
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $12.30 / $38.90
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $10.96 / $18.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $6.17 / $8.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $7.24 / $16.98