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Alaska rates for HCPCS 81325

PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,138.98 / $5,310.87 / $9,023.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,578.09 / $2,578.09 / $4,948.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,125.98 / $2,125.98 / $2,125.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,686.67 / $3,686.67 / $3,686.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.58 / $769.58 / $2,478.05
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,693.53 / $2,847.45 / $3,078.32
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.62 / $1,731.56 / $1,731.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,125.98 / $2,847.45 / $3,686.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.62 / $2,116.35 / $2,116.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.58 / $1,539.16 / $2,321.98