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Utah rates for HCPCS 81265

Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient germline [eg, buccal swab or other germline tissue sample] and donor testing, twin zygosity testing, or maternal cell contamination of fetal cells)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $999.61 / $1,854.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.00 / $450.00 / $450.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.22 / $204.90 / $642.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.13 / $256.52 / $426.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.07 / $268.02 / $967.71
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.37 / $305.02 / $383.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.89 / $123.22 / $139.84