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Utah rates for HCPCS 81176

ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis (eg, exon 12)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $1,445.44 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $229.09 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $213.80 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $288.40 / $446.68
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
$239.88 / $870.96 / $1,288.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $239.88 / $338.84
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $239.88
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $213.80 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $125.89 / $144.54