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Utah rates for HCPCS 87290

Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $53.70 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.00 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $11.75 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $15.14 / $22.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $45.71 / $64.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $11.48 / $12.02
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $13.49 / $42.66
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $12.88 / $19.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $6.76 / $8.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $7.08 / $16.60