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Utah rates for HCPCS 81287

MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $117.49 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $109.65 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $109.65 / $229.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $251.19 / $588.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $125.89
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $125.89
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $109.65 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $52.48 / $74.13