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Louisiana 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
$804.59 / $1,112.17 / $3,546.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.62 / $580.79 / $918.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.41 / $1,482.35 / $2,374.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.74 / $660.20 / $789.41
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $759.05 / $759.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.12 / $1,891.65 / $3,612.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.21 / $771.22 / $1,472.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.80 / $401.17 / $1,203.50