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Massachusetts rates for HCPCS 81416

Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $27,600.00 / $36,571.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $9,720.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,866.29 / $20,880.00 / $57,000.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,760.00 / $12,000.00 / $45,060.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,500.00 / $11,880.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.11 / $8,106.46 / $23,395.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,680.24 / $10,795.12 / $53,548.61
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,315.38 / $17,315.38 / $20,371.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,000.00 / $12,000.00 / $37,162.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,880.00 / $57,000.00 / $57,000.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,400.00 / $7,200.00 / $60,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,040.00 / $7,200.00 / $18,000.00