go back

Utah rates for HCPCS 87580

Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $109.65 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $18.20 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $17.78 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $23.99 / $38.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $64.57 / $107.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $19.95 / $27.54
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $20.89
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $17.78 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $12.02 / $12.30