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Rhode Island 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
$4,364.54 / $4,364.54 / $4,364.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.62 / $570.79 / $786.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.17 / $899.09 / $971.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.00 / $425.00 / $1,341.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,396.08 / $1,396.08 / $2,454.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.04 / $872.26 / $1,090.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.80 / $455.43 / $1,157.20