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Missouri 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
$223.87 / $389.05 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $199.53 / $389.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $812.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $144.54 / $416.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $346.74 / $602.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $234.42 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $457.09 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $223.87 / $338.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $281.84 / $1,122.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $141.25 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $234.42 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $141.25 / $257.04