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Missouri 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
$765.00 / $1,209.89 / $2,088.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.60 / $783.00 / $1,035.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $945.00 / $4,154.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.77 / $737.34 / $1,605.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.04 / $1,705.56 / $2,145.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.95 / $856.84 / $1,164.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.00 / $1,080.00 / $4,275.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.00 / $540.00 / $4,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.00 / $540.00 / $1,017.90