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Indiana rates for HCPCS 81304

MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.00 / $172.50 / $525.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.00 / $123.00 / $142.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.50 / $134.25 / $450.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $82.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $195.00 / $210.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $180.00 / $225.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.50 / $150.00 / $348.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.20 / $135.04 / $218.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.00 / $90.00 / $164.85