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Utah rates for HCPCS 87490

Iadna Chlamydia Trachomatis Direct Probe Tq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.16 / $102.01 / $138.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.16 / $20.16 / $23.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.45 / $20.00 / $62.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.62 / $24.41 / $41.34
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.75 / $26.16 / $92.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.59 / $24.42 / $28.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.56 / $12.29 / $13.65