go back

Utah rates for HCPCS 86806

Lymphocytotoxicity assay, visual crossmatch; without titration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $323.59 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $38.02 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $41.69 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $54.95 / $91.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $173.78 / $251.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $40.74 / $42.66
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $47.86 / $151.36
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $47.86 / $70.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $30.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $28.18 / $66.07