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Utah rates for HCPCS 0133U

Hereditary prostate cancer-related disorders, targeted mRNA sequence analysis panel (11 genes) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $3,311.31 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $616.60 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $602.56 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $831.76 / $3,235.94
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $616.60 / $691.83
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $1,995.26
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $602.56 / $1,047.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $416.87