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Utah rates for HCPCS 86762

Antibody; rubella

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $87.10 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.59 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $12.59 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $16.60 / $27.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $52.48 / $75.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $12.30 / $12.88
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $14.45 / $45.71
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $14.45 / $27.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.24 / $9.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $8.51 / $11.48