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Utah rates for HCPCS 86891

Autologous blood or component, collection processing and storage; intra- or postoperative salvage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $562.34 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $100.00 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $3.55 / $11.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $120.23 / $147.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,288.25 / $3,311.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $158.49 / $190.55
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $158.49 / $173.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $64.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $61.66 / $87.10