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Utah rates for HCPCS Q0115

Post-Coital Direct Qualitative Examinations Of Vaginal Or Cervical Mucous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.54 / $65.70 / $86.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.92 / $18.50 / $26.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.37 / $21.98 / $68.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.15 / $25.88 / $32.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $35.00 / $35.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $28.75 / $101.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.13 / $19.54 / $21.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $15.00 / $25.00