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Utah rates for HCPCS 0101U

Hereditary colon cancer disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel utilizing a combination of NGS, Sanger, MLPA, and array CGH, with mRNA analytics to resolve variants of unknown significance when indicated (15 genes [sequencing and deletion/duplication], EPCAM and GREM1 [deletion/duplication only])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $5,623.41 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,096.48 / $1,348.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,548.82 / $4,786.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,089.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $2,089.30 / $8,128.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,479.11 / $1,737.80
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,230.27 / $1,737.80
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,548.82 / $2,630.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $1,047.13