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Michigan 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
$1,102.00 / $1,102.00 / $1,719.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.80 / $1,102.00 / $1,102.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,295.69 / $1,806.73 / $3,173.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.04 / $1,197.94 / $1,281.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.38 / $587.91 / $1,767.13
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,102.00 / $1,102.00 / $2,024.92
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,102.00 / $1,113.59 / $1,437.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.20 / $696.00 / $1,160.00