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Utah rates for HCPCS 0062U

Autoimmune (systemic lupus erythematosus), IgG and IgM analysis of 80 biomarkers, utilizing serum, algorithm reported with a risk score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $1,862.09 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $302.00 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $331.13 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $549.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $44.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $457.09 / $1,778.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $323.59 / $338.84
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $380.19 / $1,096.48
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $338.84 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $302.00