go back

Utah rates for HCPCS 86975

Pretx Serum Rbc Antibody Incubation Drugs Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.07 / $66.90 / $124.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.15 / $22.08 / $36.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $0.80 / $2.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.32 / $15.07 / $57.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.07 / $755.46 / $1,100.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.51 / $31.04 / $42.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.85 / $13.79 / $19.70