go back

Utah rates for HCPCS 0250U

Oncology (solid organ neoplasm), targeted genomic sequence DNA analysis of 505 genes, interrogation for somatic alterations (SNVs [single nucleotide variant], small insertions and deletions, one amplification, and four translocations), microsatellite instability and tumor-mutation burden

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $14,125.38 / $18,620.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,630.27 / $3,715.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,570.40 / $8,128.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $3,467.37 / $3,467.37
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,951.21 / $13,489.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,951.21
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $8,511.38
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,570.40 / $4,365.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,737.80