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Utah rates for HCPCS G0475

Hiv Antigen/Antibody Combination Assay Screening

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.83 / $36.99 / $146.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.41 / $19.75 / $36.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.58 / $21.17 / $66.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.66 / $25.13 / $31.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.62 / $41.62 / $41.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.08 / $27.69 / $108.34
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.43 / $18.75 / $20.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $13.87 / $14.45