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West 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
$738.00 / $1,125.00 / $1,350.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.60 / $738.00 / $765.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.00 / $1,350.00 / $1,575.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.00 / $1,080.00 / $1,215.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.25 / $1,080.00 / $2,699.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,338.00 / $4,338.00 / $4,338.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.00 / $450.00 / $1,305.00