go back

Utah rates for HCPCS 81410

Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at least 9 genes, including FBN1, TGFBR1, TGFBR2, COL3A1, MYH11, ACTA2, SLC2A10, SMAD3, and MYLK

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,679.35 / $1,679.35 / $1,679.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.16 / $403.20 / $579.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.79 / $443.07 / $1,388.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.97 / $579.03 / $922.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.00 / $579.60 / $2,041.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.65 / $543.67 / $604.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.68 / $211.68 / $302.39