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Targeted Analysis of a Single Gene

Utah rates for HCPCS 81255

A laboratory test that examines one specific gene in a blood or tissue sample, checking a defined set of positions within it for changes. The result is interpreted together with family history, ancestry where relevant, and any other testing that has been done.

Facilitymedian $102 · 10th–90th $59$2190%20%10th90th$102Professionalmedian $48 · 10th–90th $36$2190%10%20%10th90th$48$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$47.86
Typical High
$218.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$53.70
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$54.95
Typical High
$109.65
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$208.93
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$46.77
Typical High
$389.05
Select Health
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$162.18
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$45.71
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$51.29