go back

Utah rates for HCPCS 0258U

Autoimmune (psoriasis), mRNA, next-generation sequencing, gene expression profiling of 50-100 genes, skin-surface collection using adhesive patch, algorithm reported as likelihood of response to psoriasis biologics

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $17,782.79 / $23,442.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $3,311.31 / $4,677.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,235.94 / $10,232.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $4,365.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,715.35 / $16,982.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,715.35
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $10,715.19
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,235.94 / $5,495.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $2,187.76