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Utah rates for HCPCS 81414

Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include analysis of at least 2 genes, including KCNH2 and KCNQ1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,174.90 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $467.74 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $512.86 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $707.95 / $1,096.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $2,137.96 / $3,090.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $501.19 / $851.14
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $562.34 / $588.84
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $512.86 / $870.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $380.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $338.84 / $354.81