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Utah rates for HCPCS 87255

Virus Id Non-Immunologic Oth/Thn Cytopathic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.64 / $123.87 / $162.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.06 / $30.25 / $35.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.94 / $29.77 / $93.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.35 / $39.24 / $49.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.86 / $38.94 / $152.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.92 / $27.68 / $39.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.22 / $20.02 / $20.32