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Utah rates for HCPCS 86904

Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.04 / $63.21 / $93.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.03 / $12.26 / $18.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.97 / $14.36 / $45.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $19.00 / $23.75
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.73 / $115.98 / $169.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.51 / $13.29 / $18.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.17 / $8.17 / $10.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $6.86 / $9.80