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Utah rates for HCPCS 87901

Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $512.86 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $229.09 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $223.87 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $309.03 / $489.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $912.01 / $1,348.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $257.04 / $380.19
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $288.40
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $229.09 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $154.88 / $158.49