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Utah rates for HCPCS 87389

Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.14 / $95.73 / $147.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.89 / $20.04 / $24.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.58 / $21.17 / $66.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.12 / $27.67 / $34.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.08 / $27.69 / $108.34
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.43 / $19.54 / $27.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $14.33 / $34.11