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Utah rates for HCPCS 87449

Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; not otherwise specified, each organism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $190.55 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.72 / $21.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $10.47 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $14.45 / $22.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $43.65 / $63.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $10.23 / $10.72
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $11.75 / $11.75
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $12.02 / $22.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.03 / $7.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.08 / $16.60