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Utah rates for HCPCS 0212U

Rare diseases (constitutional/heritable disorders), whole genome and mitochondrial DNA sequence analysis, including small sequence changes, deletions, duplications, short tandem repeat gene expansions, and variants in non-uniquely mappable regions, blood or saliva, identification and categorization of genetic variants, proband

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,927.68 / $25,821.00 / $33,853.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,927.68 / $4,927.68 / $4,927.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,679.93 / $4,813.31 / $15,086.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,570.24 / $6,570.24 / $6,570.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,475.20 / $6,296.48 / $6,570.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,475.20 / $6,299.58 / $8,182.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,299.58 / $2,299.58 / $3,285.12