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Utah rates for HCPCS 87420

Iaad Ia Respiratory Synctial Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.19 / $79.75 / $113.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.80 / $10.99 / $16.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.89 / $12.23 / $38.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.48 / $16.11 / $20.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.36 / $20.72 / $20.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $16.00 / $56.34
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.65 / $11.40 / $15.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $7.09 / $8.35