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North Carolina 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
$147.41 / $201.24 / $377.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.61 / $187.20 / $248.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.18 / $687.36 / $687.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.30 / $198.90 / $421.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.71 / $325.64 / $614.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.53 / $173.68 / $341.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.20 / $234.00 / $351.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.57 / $201.57 / $234.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.10 / $234.00 / $448.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.80 / $280.80 / $280.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.28 / $140.40 / $234.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.16 / $1,111.50 / $1,111.50
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.00 / $1,170.00 / $1,755.00