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Louisiana 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
$245.47 / $323.59 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $199.53 / $323.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $457.09 / $741.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $257.04 / $257.04
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $467.74 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $239.88 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $234.42 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $117.49 / $331.13