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Arizona rates for HCPCS 81204

AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $275.42 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $109.65 / $263.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $281.84 / $416.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $134.90 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $134.90 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $123.03 / $173.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $144.54 / $245.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $138.04 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $81.28