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Maine rates for HCPCS 81410

Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at least 9 genes, including FBN1, TGFBR1, TGFBR2, COL3A1, MYH11, ACTA2, SLC2A10, SMAD3, and MYLK

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.00 / $504.00 / $1,260.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.24 / $408.24 / $504.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.72 / $612.21 / $1,742.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.60 / $221.76 / $2,289.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,075.02 / $1,075.02 / $1,075.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.46 / $532.50 / $723.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.00 / $504.00 / $509.04
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.00 / $504.00 / $1,260.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.24 / $504.00 / $504.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.39 / $302.39 / $730.80