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Utah rates for HCPCS 81164

BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $2,818.38 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $524.81 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $512.86 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $630.96 / $1,071.52
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
$588.84 / $1,737.80 / $2,754.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $562.34 / $660.69
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $588.84
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $512.86 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $346.74