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Maine rates for HCPCS 81413

Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing of at least 10 genes, including ANK2, CASQ2, CAV3, KCNE1, KCNE2, KCNH2, KCNJ2, KCNQ1, RYR2, and SCN5A

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,630.27 / $2,630.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $478.63 / $588.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $5,128.61 / $5,495.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $331.13 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $851.14 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $676.08 / $851.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $707.95
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,630.27 / $2,630.27
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $562.34 / $1,047.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $588.84 / $1,174.90