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Maine 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
$12,022.64 / $12,022.64 / $53,703.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $9,120.11 / $12,022.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $13,803.84 / $41,686.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $4,786.30 / $7,762.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,542.29 / $27,542.29 / $27,542.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,715.19 / $12,022.64 / $17,378.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,022.64 / $12,022.64 / $14,454.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $12,022.64 / $19,498.45
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $11,748.98 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,165.95 / $12,022.64 / $18,197.01