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Utah rates for HCPCS 87254

Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $100.00 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.85 / $22.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $17.38 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $22.39 / $37.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $58.88 / $104.71
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $16.60 / $17.38
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $19.50 / $61.66
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $17.38 / $29.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $9.77 / $12.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $11.22 / $11.75