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Utah rates for HCPCS 87483

Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus agalactiae, enterovirus, human parechovirus, herpes simplex virus type 1 and 2, human herpesvirus 6, cytomegalovirus, varicella zoster virus, Cryptococcus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $602.56 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $389.05 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $363.08 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $501.19 / $776.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $1,479.11 / $2,187.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $416.87 / $562.34
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $467.74
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $363.08 / $616.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $239.88 / $251.19