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Maine 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
$900.00 / $900.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.00 / $729.00 / $1,350.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.93 / $1,323.00 / $3,722.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.00 / $360.00 / $585.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,919.68 / $1,919.68 / $1,919.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.13 / $910.68 / $951.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.00 / $900.00 / $909.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $2,250.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.36 / $900.00 / $1,235.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.00 / $900.00 / $1,477.51