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Tennessee 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
$173.78 / $194.98 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $181.97 / $295.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $478.63 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $154.88 / $323.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,122.02
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,737.80 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $234.42 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $141.25 / $234.42