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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
$649.89 / $3,405.42 / $4,464.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.89 / $649.89 / $649.89
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
$312.58 / $697.91 / $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
$591.05 / $701.04 / $800.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.66 / $303.27 / $350.94