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Utah rates for HCPCS 81402

Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants [typically using non-sequencing target variant analysis], immunoglobulin and T-cell receptor gene rearrangements, duplication/deletion variants of 1 exon, loss of heterozygosity [LOH], uniparental disomy [UPD])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $222.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.49 / $132.15 / $414.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.09 / $161.59 / $274.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.33 / $172.88 / $608.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.27 / $162.32 / $180.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.14 / $63.14 / $90.20