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Utah rates for HCPCS 87641

Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $120.23 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $32.36 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.90 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $41.69 / $74.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $112.20 / $186.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $35.48 / $47.86
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $38.02
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $30.90 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $20.89 / $21.38