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Louisiana 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
$954.00 / $1,240.20 / $4,412.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.00 / $1,071.00 / $1,350.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$974.52 / $1,757.61 / $2,814.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.00 / $990.00 / $990.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.87 / $1,726.35 / $4,182.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.45 / $932.23 / $1,852.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.00 / $540.00 / $1,170.00