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Utah rates for HCPCS 0205U

Ophthalmology (age-related macular degeneration), analysis of 3 gene variants (2 CFH gene, 1 ARMS2 gene), using PCR and MALDI-TOF, buccal swab, reported as positive or negative for neovascular age-related macular-degeneration risk associated with zinc supplements

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $229.09 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $41.69 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $41.69 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
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
$39.81 / $56.23 / $218.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $42.66 / $46.77
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $134.90
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $41.69 / $70.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $28.18