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Utah rates for HCPCS 86965

Pooling Platelets/Other Blood Products

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.64 / $69.05 / $128.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.21 / $22.80 / $37.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $0.83 / $2.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.67 / $15.55 / $59.55
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
$28.41 / $32.51 / $43.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $13.57 / $18.77