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Oklahoma 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
$175.50 / $234.00 / $561.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.16 / $173.16 / $250.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.11 / $295.77 / $428.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.30 / $222.30 / $222.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.10 / $152.10 / $625.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.19 / $284.99 / $341.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.16 / $234.00 / $393.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.28 / $98.28 / $351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.28 / $98.28 / $149.76