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Utah rates for HCPCS 0213U

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, each comparator genome (eg, parent, sibling)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $13,182.57 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,454.71 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,398.83 / $7,413.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $3,235.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,691.53 / $12,589.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $2,691.53
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $7,762.47
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,398.83 / $4,073.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,621.81