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Alaska rates for HCPCS 81350

UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia [Gilbert syndrome]) gene analysis, common variants (eg, *28, *36, *37)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.32 / $1,614.83 / $2,743.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.90 / $783.90 / $1,504.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.42 / $646.42 / $646.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.98 / $1,120.98 / $1,120.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.00 / $234.00 / $753.48
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$819.00 / $865.80 / $936.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.60 / $526.50 / $526.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.42 / $865.80 / $1,120.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.60 / $643.50 / $643.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.00 / $468.00 / $706.03