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Utah rates for HCPCS 87650

Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, 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 / $30.90
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
$19.50 / $19.50 / $21.88
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 / $12.02