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Maine rates for HCPCS 81349

Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,197.94 / $1,197.94 / $2,994.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.60 / $939.60 / $1,197.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.00 / $360.00 / $778.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,212.16 / $1,212.16 / $1,212.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,197.94 / $1,197.94 / $1,209.92
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,197.94 / $1,197.94 / $2,994.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.60 / $1,197.94 / $1,197.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.00 / $696.00 / $1,740.00