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Maine rates for HCPCS 81411

Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for TGFBR1, TGFBR2, MYH11, and COL3A1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.19 / $1,350.19 / $3,375.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.65 / $1,093.65 / $1,350.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,306.58 / $1,640.08 / $4,667.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.08 / $594.08 / $2,289.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,879.91 / $2,879.91 / $2,879.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,212.63 / $1,366.34 / $1,939.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.19 / $1,350.19 / $1,363.69
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.19 / $1,350.19 / $3,375.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.65 / $1,350.19 / $1,350.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.11 / $810.11 / $1,957.78