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Utah rates for HCPCS 81448

Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2, GJB1, MFN2, MPZ, REEP1, SPAST, SPG11, SPTLC1)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $3,467.37 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $549.54 / $912.01
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
$309.03 / $691.83 / $1,071.52
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
$501.19 / $588.84 / $812.83
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $588.84
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $512.86 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $302.00 / $354.81