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Idaho 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
$426.58 / $426.58 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $190.55 / $457.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $257.04 / $831.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $239.88 / $239.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $489.78 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $204.17 / $389.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $354.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $245.47 / $295.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $457.09 / $851.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $245.47
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $234.42