go back

New York 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
$198.90 / $372.06 / $760.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.93 / $182.52 / $339.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.00 / $234.00 / $608.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.01 / $93.60 / $337.43
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.40 / $234.00 / $234.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.84 / $234.00 / $234.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.33 / $494.33 / $624.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.94 / $363.66 / $759.32
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.00 / $332.00 / $526.50
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.80 / $244.13 / $428.22
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.20 / $222.30 / $417.35
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.05 / $420.63 / $488.80
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.15 / $571.25 / $624.99
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.00 / $286.64 / $702.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.28 / $140.40 / $354.65
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.04 / $248.04 / $248.04
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.20 / $234.00 / $275.42