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Iowa 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
$970.20 / $1,750.86 / $2,449.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.60 / $693.00 / $1,235.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.89 / $1,634.61 / $2,043.26
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.00 / $1,575.00 / $1,894.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$855.00 / $1,080.89 / $2,070.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.00 / $900.00 / $3,532.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.00 / $1,650.23 / $2,000.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.00 / $1,650.23 / $2,295.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.00 / $900.00 / $1,606.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.00 / $540.00 / $1,962.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00