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Utah rates for HCPCS 86904

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

Facilitymedian $65 · 10th–90th $12–$1230%20%10th90th$65Professionalmedian $12 · 10th–90th $9–$170%20%10th90th$12$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $64.57 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.02 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $16.98 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $7.76 / $23.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $117.49 / $173.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $13.80 / $14.79
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $16.22 / $51.29
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $14.45 / $24.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $10.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $6.92 / $13.18