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Utah rates for HCPCS G0433

Infectious agent antibody detection by enzyme-linked immunosorbent assay (ELISA) technique, HIV-1 and/or HIV-2, screening

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $72.44 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $14.13 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $16.22 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $19.05 / $23.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $42.66 / $87.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $15.49 / $16.60
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $64.57
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $16.22 / $18.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $9.12 / $12.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $8.13 / $15.14