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New Mexico 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
$675.00 / $1,350.00 / $2,700.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.36 / $1,080.00 / $5,787.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.15 / $736.20 / $900.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.00 / $585.00 / $585.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.50 / $806.50 / $1,021.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,395.00 / $1,467.00 / $1,467.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.00 / $667.90 / $1,134.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.50 / $1,089.00 / $1,251.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.00 / $378.00 / $540.00