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Massachusetts 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
$306.00 / $2,465.37 / $2,742.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.00 / $306.00 / $1,235.97
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,051.88 / $2,360.80 / $3,105.90
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.00 / $900.00 / $3,569.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,430.36 / $2,045.41 / $3,575.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.79 / $609.79 / $891.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.13 / $904.30 / $2,047.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.39 / $864.04 / $2,346.48
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.49 / $1,298.49 / $1,527.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.00 / $900.00 / $2,787.21
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,566.00 / $4,275.00 / $4,275.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.00 / $540.00 / $4,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.00 / $540.00 / $1,575.00