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Virginia 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 / $444.13 / $779.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.50 / $191.88 / $198.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.00 / $234.00 / $1,150.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.60 / $93.60 / $150.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.18 / $211.54 / $365.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.10 / $435.82 / $1,061.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.31 / $142.13 / $386.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.00 / $280.80 / $346.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.90 / $226.84 / $397.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.00 / $321.00 / $561.60
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.88 / $281.27 / $9,929.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.88 / $281.27 / $9,929.00
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 / $121.68 / $269.10