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Pennsylvania 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
$189.54 / $640.65 / $978.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.93 / $189.54 / $1,504.62
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.21 / $1,076.99 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.52 / $182.52 / $182.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.07 / $345.86 / $776.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.32 / $250.08 / $529.51
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.22 / $315.89 / $444.60
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.63 / $637.04 / $1,091.31
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.90 / $640.65 / $966.42
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.41 / $198.90 / $966.42
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.32 / $351.00 / $468.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.63 / $389.30 / $776.92
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.13 / $250.62 / $529.51
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.76 / $234.00 / $234.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.76 / $234.00 / $234.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.28 / $98.28 / $98.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.28 / $140.40 / $312.44