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Arkansas 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
$294.83 / $294.83 / $407.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.93 / $226.98 / $294.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.76 / $266.76 / $266.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.68 / $351.00 / $351.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.10 / $176.44 / $349.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.63 / $234.55 / $351.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.60 / $210.60 / $210.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.28 / $140.40 / $234.00