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Utah rates for HCPCS 81168

CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $1,000.00 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $186.21 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $181.97 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $229.09 / $380.19
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
$208.93 / $616.60 / $977.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $190.55 / $208.93
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $660.69
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $181.97 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $123.03