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Utah rates for HCPCS 87255

Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $79.43 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $30.20 / $38.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $29.51 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $38.90 / $64.57
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $75.86 / $177.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $28.84 / $30.20
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $33.88 / $107.15
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $29.51 / $51.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $21.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $19.95 / $38.02