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Utah rates for HCPCS 81268

Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each cell type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $524.81 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $245.47 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $229.09 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $316.23 / $489.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $954.99 / $1,380.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $263.03 / $457.09
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $380.19
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $229.09 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $147.91 / $154.88