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Utah rates for HCPCS 86965

Pooling of platelets or other blood products

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $100.00 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $22.91 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.83 / $2.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $15.14 / $56.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $288.40 / $660.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $33.88 / $54.95
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $18.62
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $36.31 / $112.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $13.49 / $18.62