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Utah rates for HCPCS 0043U

Tick-borne relapsing fever Borrelia group, antibody detection to 4 recombinant protein groups, by immunoblot, IgM

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
$7.94 / $12.88 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $13.18 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $17.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $17.78 / $69.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $13.80 / $16.98
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.47 / $42.66
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $13.18 / $22.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.31 / $8.91