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Utah rates for HCPCS 81405

Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array analysis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $175.00 / $388.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.00 / $175.00 / $175.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.58 / $264.92 / $830.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.53 / $323.57 / $551.16
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.35 / $346.55 / $1,220.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.07 / $333.84 / $464.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.57 / $126.57 / $180.81