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Utah rates for HCPCS 87505

Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 3-5 targets

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $776.25 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $120.23 / $199.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $112.20 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $154.88 / $275.42
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $436.52 / $676.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $128.82 / $186.21
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $138.04
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $74.13 / $77.62