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Utah rates for HCPCS 89055

Leukocyte assessment, fecal, qualitative or semiquantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $28.84 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.80 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.80 / $11.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $5.01 / $8.32
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $15.49 / $22.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $3.63 / $3.80
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $4.27 / $13.49
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $4.27 / $6.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $2.14 / $2.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $3.63 / $4.79