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Arizona rates for HCPCS 81228

Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization [CGH] microarray analysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$820.08 / $1,800.00 / $3,591.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.00 / $603.00 / $1,370.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.26 / $2,355.55 / $3,731.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.54 / $858.96 / $4,160.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.14 / $1,579.50 / $2,632.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.28 / $676.08 / $898.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.00 / $900.00 / $1,626.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.00 / $378.00 / $4,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.00 / $378.00 / $540.00