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Utah rates for HCPCS 0136U

ATM (ataxia telangiectasia mutated) (eg, ataxia telangiectasia) mRNA sequence analysis (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $1,995.26 / $2,570.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $363.08 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $354.81 / $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
$44.67 / $44.67 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $489.78 / $1,905.46
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $363.08 / $407.38
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $1,174.90
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $354.81 / $616.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $245.47