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Tennessee 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 / $1,248.75 / $2,898.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.50 / $702.00 / $1,010.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.00 / $900.00 / $1,710.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.39 / $1,860.85 / $2,821.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.40 / $619.57 / $2,436.27
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,566.00 / $4,275.00 / $4,275.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $6,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.00 / $540.00 / $900.00