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Indiana 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
$738.00 / $1,035.00 / $3,150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $738.00 / $900.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.00 / $805.50 / $2,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.77 / $32.77 / $306.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $1,170.00 / $1,260.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.00 / $1,080.00 / $1,350.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.00 / $900.00 / $2,093.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.26 / $809.90 / $1,305.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.00 / $540.00 / $989.10