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Utah rates for HCPCS 81413

Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing of at least 10 genes, including ANK2, CASQ2, CAV3, KCNE1, KCNE2, KCNH2, KCNJ2, KCNQ1, RYR2, and SCN5A

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.10 / $722.10 / $2,673.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.03 / $497.17 / $722.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.95 / $514.20 / $1,611.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.43 / $671.95 / $1,069.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.90 / $672.64 / $2,632.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.46 / $674.31 / $888.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.66 / $336.98 / $350.94