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Utah rates for HCPCS 88249

Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $1,174.90 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $162.18 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $151.36 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $208.93 / $331.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $630.96 / $912.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $173.78 / $302.00
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $229.09
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $151.36 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $147.91 / $288.40