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Utah rates for HCPCS 86890

Autologous blood or component, collection processing and storage; predeposited

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.12 / $299.31 / $392.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.12 / $71.95 / $103.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $2.52 / $7.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.48 / $84.25 / $105.32
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.73 / $323.85 / $471.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.59 / $102.29 / $115.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.02 / $43.35 / $61.93