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Utah rates for HCPCS 87290

Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus

Facilitymedian $54 · 10th–90th $15$1070%20%10th90th$54Professionalmedian $10 · 10th–90th $8$150%20%40%10th90th$10$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $53.70 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.00 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $14.13 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $8.32 / $22.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $54.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $11.48 / $12.02
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $13.49 / $42.66
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $12.88 / $19.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $8.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $7.08 / $16.60