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Utah rates for HCPCS 87490

Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $104.71 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $19.95 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $19.95 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $27.54 / $41.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $64.57 / $109.65
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $22.91 / $27.54
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $22.91
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $19.95 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $12.02 / $13.80