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Montana 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
$1,201.52 / $1,201.52 / $1,201.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.70 / $570.79 / $872.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.13 / $1,017.13 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.13 / $1,017.13 / $1,017.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.61 / $1,480.15 / $2,242.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.26 / $1,100.61 / $1,100.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.61 / $1,480.15 / $2,242.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.15 / $795.00 / $1,100.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.80 / $336.98 / $802.33