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Utah rates for HCPCS 87635

Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $123.03 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $51.29 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $44.67 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $51.29 / $93.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $39.81 / $87.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $61.66 / $239.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $51.29 / $72.44
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $51.29 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $51.29