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Utah rates for HCPCS 81417

Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,066.25 / $1,066.25 / $1,066.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.00 / $288.00 / $288.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.52 / $281.32 / $881.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.03 / $343.72 / $585.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.00 / $368.00 / $1,296.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.69 / $345.10 / $383.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.40 / $134.40 / $192.00