go back

Idaho 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
$211.20 / $1,056.00 / $1,761.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.00 / $1,480.15 / $1,480.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.07 / $804.21 / $2,960.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.74 / $872.26 / $1,256.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.51 / $1,480.15 / $1,628.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.05 / $759.05 / $910.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.67 / $683.15 / $1,480.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,138.58 / $1,518.10 / $2,732.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.19 / $1,334.94 / $1,334.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.80 / $336.98 / $962.80