go back

Maine 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
$234.00 / $234.00 / $585.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.54 / $189.54 / $234.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.16 / $282.02 / $808.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.43 / $93.60 / $152.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.12 / $499.12 / $499.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.13 / $236.67 / $247.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.00 / $234.00 / $236.34
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.00 / $234.00 / $585.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.54 / $234.00 / $234.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.40 / $140.40 / $351.00