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Alaska rates for HCPCS 81420

Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.01 / $1,612.99 / $7,297.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.00 / $2,542.82 / $2,542.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,096.87 / $2,096.87 / $2,096.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.26 / $872.26 / $1,090.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.82 / $552.82 / $552.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.05 / $759.05 / $2,444.14
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,656.67 / $2,808.49 / $3,036.20
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.15 / $1,203.50 / $3,036.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.82 / $552.82 / $552.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.00 / $1,200.00 / $2,087.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.05 / $1,518.10 / $2,290.21