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Utah rates for HCPCS 0214U

Rare diseases (constitutional/heritable disorders), whole exome 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
$4,677.35 / $25,118.86 / $33,113.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $4,677.35 / $6,606.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,570.88 / $14,454.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $6,309.57 / $6,309.57
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $5,248.07 / $24,547.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $5,248.07
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $15,135.61
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $4,570.88 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $3,162.28