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Minnesota 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
$219.96 / $219.96 / $219.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.80 / $219.96 / $280.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.36 / $234.00 / $453.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.20 / $234.00 / $234.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.14 / $854.02 / $2,054.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.55 / $341.46 / $455.00
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.75 / $780.78 / $1,617.69
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.86 / $268.86 / $424.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.00 / $409.50 / $643.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.34 / $187.20 / $617.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.28 / $193.33 / $536.77