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Utah rates for HCPCS 87186

Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $107.15 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.59 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $7.59 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $10.00 / $16.60
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $31.62 / $45.71
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $7.41 / $7.76
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $8.71 / $27.54
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $8.71 / $16.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $4.37 / $44.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $5.13 / $12.02