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Hawaii 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
$193.05 / $218.79 / $280.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.93 / $82.93 / $82.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.80 / $280.80 / $280.80
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.60 / $208.28 / $245.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.39 / $280.80 / $327.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.00 / $280.80 / $351.00
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.90 / $343.98 / $526.50