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Virginia 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 / $1,890.00 / $2,997.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $765.00 / $1,050.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $4,423.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.00 / $360.00 / $575.30
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.00 / $890.88 / $1,798.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.00 / $1,533.03 / $4,080.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.65 / $546.33 / $1,485.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.00 / $1,080.00 / $1,332.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.25 / $1,035.00 / $1,530.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.00 / $1,260.00 / $2,160.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.00 / $1,081.80 / $9,929.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.00 / $1,081.80 / $9,929.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.00 / $468.00 / $1,035.00