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Utah rates for HCPCS 81329

SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $660.69 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $109.65 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $120.23 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $147.91 / $251.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $407.38 / $645.65
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $131.83 / $154.88
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $138.04
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $120.23 / $204.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $81.28