go back

Maine rates for HCPCS 81417

Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.00 / $320.00 / $800.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.20 / $259.20 / $320.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.66 / $388.70 / $1,106.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.00 / $140.80 / $1,279.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.55 / $682.55 / $682.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.77 / $323.75 / $338.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.00 / $320.00 / $323.20
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.00 / $320.00 / $800.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.20 / $320.00 / $320.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.00 / $192.00 / $480.00