go back

Utah rates for HCPCS 87526

Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $186.21 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $33.88 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $34.67 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $46.77 / $72.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $112.20 / $186.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $38.90 / $47.86
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $38.90
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $34.67 / $58.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $20.89 / $23.44