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Michigan 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
$676.25 / $721.10 / $1,124.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.62 / $570.79 / $786.45
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.53 / $379.53 / $759.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.68 / $1,046.22 / $1,854.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.00 / $700.00 / $749.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.29 / $797.00 / $1,821.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.38 / $797.00 / $1,024.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.04 / $759.05 / $1,090.32
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.16 / $721.10 / $1,325.02
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.00 / $625.16 / $901.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.50 / $628.50 / $848.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.80 / $481.40 / $667.80