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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
$268.77 / $1,408.41 / $1,846.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.77 / $268.77 / $268.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.77 / $212.66 / $666.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.34 / $288.70 / $442.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.90 / $278.19 / $1,088.52
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.44 / $290.07 / $330.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.60 / $125.43 / $145.13