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Utah rates for HCPCS G0452

Molecular pathology procedure; physician interpretation and report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $125.89 / $162.18
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.91 / $22.91 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $42.66 / $138.04
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.42 / $42.66 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $2.88 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.74 / $40.74 / $40.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $32.36 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $50.12 / $72.44
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.84 / $46.77 / $67.61
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $54.95 / $64.57
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.66 / $52.48 / $123.03
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $58.88 / $91.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $23.44 / $64.57
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.38 / $22.91 / $60.26