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Utah rates for HCPCS 0169U

NUDT15 (nudix hydrolase 15) and TPMT (thiopurine S-methyltransferase) (eg, drug metabolism) gene analysis, common variants

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $2,238.72 / $2,951.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $363.08 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $407.38 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
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
$398.11 / $562.34 / $2,187.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $416.87 / $467.74
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $1,348.96
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $407.38 / $691.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $281.84