go back

Maine rates for HCPCS 81176

ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis (eg, exon 12)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.90 / $241.90 / $604.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.94 / $195.94 / $241.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.09 / $355.59 / $2,136.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.76 / $96.76 / $283.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.98 / $515.98 / $515.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.31 / $244.86 / $370.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.90 / $241.90 / $244.32
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.90 / $241.90 / $604.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.94 / $241.90 / $241.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.37 / $179.18 / $447.96