go back

Utah rates for HCPCS 87451

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; polyvalent for multiple organisms, each polyvalent antiserum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $54.95 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $7.94 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $9.33 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $12.02 / $18.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $33.11 / $51.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $8.91 / $9.33
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $10.47 / $33.11
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $9.33 / $15.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $5.25 / $6.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $5.62 / $6.31