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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
$4,897.79 / $26,302.68 / $34,673.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $4,897.79 / $5,370.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $4,786.30 / $15,135.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,606.93 / $6,606.93 / $6,606.93
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $5,495.41 / $25,703.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $4,677.35 / $5,495.41
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $15,848.93
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $4,786.30 / $8,128.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $3,311.31