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Utah rates for HCPCS 81228

Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization [CGH] microarray analysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.00 / $306.00 / $679.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.00 / $306.00 / $306.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.28 / $791.20 / $2,479.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.50 / $966.46 / $1,646.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $1,035.00 / $3,645.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.42 / $971.01 / $1,078.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.00 / $378.00 / $540.00