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Utah rates for HCPCS 81255

HEXA (hexosaminidase A [alpha polypeptide]) (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $102.33 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $39.81 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $45.71 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $54.95 / $109.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $93.33 / $245.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $51.29 / $389.05
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $162.18
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $45.71 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $30.90