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Wisconsin rates for HCPCS 81304

Mecp2 Gene Analysis Duplication/Deletion Variant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.00 / $225.00 / $334.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.50 / $142.50 / $228.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.50 / $390.00 / $412.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $150.00 / $642.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.00 / $397.14 / $397.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.71 / $482.29 / $739.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.63 / $403.92 / $459.00
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.50 / $180.00 / $525.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.00 / $180.00 / $525.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $90.00 / $462.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.50 / $180.00 / $525.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.44 / $366.00 / $501.96
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $712.50 / $712.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.50 / $750.00 / $750.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.43 / $319.43 / $319.43
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.93 / $819.00 / $819.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.20 / $90.00 / $315.00