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Oklahoma 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 / $900.00 / $2,160.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.00 / $666.00 / $1,050.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.17 / $291.76 / $428.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.00 / $855.00 / $972.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.91 / $585.00 / $2,404.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.90 / $1,096.20 / $1,313.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$666.00 / $900.00 / $1,512.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.00 / $378.00 / $1,350.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.00 / $378.00 / $576.00