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Utah rates for HCPCS 81536

Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug combination (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.46 / $463.53 / $607.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.46 / $133.16 / $204.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.76 / $156.09 / $489.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.29 / $204.02 / $255.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.56 / $204.19 / $719.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.91 / $144.62 / $204.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.58 / $74.58 / $106.54