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Utah rates for HCPCS 0040U

BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis, major breakpoint, quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $2,187.76 / $2,884.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $389.05 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $363.08 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
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
$407.38 / $741.31 / $2,187.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $407.38 / $512.86
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $407.38
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $363.08 / $616.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $190.55 / $245.47