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Pennsylvania 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
$614.83 / $1,976.52 / $3,223.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.00 / $570.79 / $786.45
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.43 / $455.43 / $455.43
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.38 / $759.05 / $997.39
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,771.17 / $3,692.72 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.05 / $592.05 / $897.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.18 / $986.76 / $2,220.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.70 / $856.94 / $1,716.67
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.16 / $795.00 / $1,282.79
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.29 / $1,293.88 / $2,463.75
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.43 / $559.63 / $617.65
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.38 / $493.38 / $797.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.71 / $1,593.62 / $3,192.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.62 / $580.79 / $872.91
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.70 / $1,392.62 / $1,937.31
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.39 / $1,138.58 / $2,209.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.40 / $1,103.69 / $2,518.75
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.00 / $856.94 / $1,716.67
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.05 / $759.05 / $882.56
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.05 / $759.05 / $882.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.80 / $455.43 / $1,290.39