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Utah rates for HCPCS 87552

Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $295.12 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $39.81 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $38.02 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $51.29 / $81.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $154.88 / $229.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $42.66 / $74.13
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $56.23
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $38.02 / $64.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $25.70 / $26.30