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Utah rates for HCPCS P9604

Travel Allowance One Way In Connection With Medically Necessary Laboratory Specimen Collection Drawn From Home Bound Or Nursing Home Bound Patient; Prorated Trip Charge. (Special Coverage Instructions Apply. See Mcm: 51141k)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.91 / $2.91 / $2.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $8.21 / $11.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $3.75 / $8.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.98 / $14.76 / $14.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.87 / $4.30 / $8.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.73 / $10.30 / $15.23