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Washington 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
$846.00 / $2,050.29 / $4,959.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.00 / $846.00 / $1,235.97
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.00 / $1,440.00 / $3,718.26
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.00 / $1,758.54 / $6,750.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.49 / $1,450.80 / $2,323.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.94 / $1,009.33 / $1,228.03
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.15 / $1,125.00 / $2,569.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.00 / $1,323.00 / $2,490.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $1,890.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.00 / $1,575.00 / $2,700.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.00 / $1,125.00 / $1,359.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.00 / $1,476.90 / $2,475.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.40 / $1,751.66 / $2,092.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.00 / $378.00 / $990.00