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New York rates for HCPCS 81204

Ar Gene Analysis Characterization Of Alleles

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.14 / $213.72 / $383.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.67 / $106.86 / $198.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.00 / $137.00 / $356.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.80 / $79.30 / $312.36
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.20 / $137.00 / $137.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.01 / $137.00 / $137.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.40 / $277.70 / $355.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.50 / $177.69 / $442.75
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.00 / $250.00 / $346.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $142.93 / $250.71
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.83 / $83.83 / $83.83
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.83 / $130.15 / $161.25
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.00 / $456.00 / $456.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.56 / $334.58 / $366.06
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.24 / $171.25 / $411.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $82.20 / $215.07
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.22 / $145.22 / $177.44
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.07 / $137.00 / $177.44