go back

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
$130.13 / $681.93 / $1,474.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.13 / $130.13 / $130.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.66 / $112.78 / $353.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.04 / $153.94 / $273.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.29 / $147.53 / $577.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.26 / $153.62 / $189.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.88 / $73.40 / $76.97