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Maine 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
$525.95 / $775.19 / $3,104.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.88 / $614.83 / $759.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.53 / $922.02 / $2,624.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.96 / $303.62 / $493.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,619.03 / $1,619.03 / $1,619.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.51 / $802.04 / $1,090.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.05 / $759.05 / $766.64
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.79 / $986.76 / $3,129.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.83 / $759.05 / $797.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.43 / $481.40 / $1,404.08