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Utah rates for HCPCS 0260U

Rare diseases (constitutional/heritable disorders), identification of copy number variations, inversions, insertions, translocations, and other structural variants by optical genome mapping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $6,165.95 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,148.15 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,122.02 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $1,513.56
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
$1,513.56 / $1,513.56 / $5,888.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,258.93
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,258.93
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,122.02 / $1,905.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $758.58