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Maryland rates for HCPCS 81419

Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1, SYNGAP1, TCF4, TPP1, TSC1, TSC2, and ZEB2

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,591.56 / $1,836.42 / $2,007.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,958.85 / $1,958.85 / $2,233.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.20 / $1,521.97 / $6,018.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,448.56 / $2,938.27 / $3,672.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.40 / $1,101.84 / $1,957.72
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.28 / $1,224.28 / $1,224.28