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Texas 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
$508.56 / $1,416.39 / $3,606.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.00 / $570.79 / $786.45
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.52 / $379.53 / $455.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.05 / $2,086.06 / $3,977.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $402.30 / $1,062.67
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.15 / $834.96 / $3,355.02
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.34 / $759.05 / $1,290.69
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$673.96 / $759.05 / $795.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.40 / $1,509.74 / $3,359.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.07 / $612.95 / $1,171.38
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,214.48 / $3,605.49 / $3,605.49
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,795.25 / $3,795.25 / $5,692.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.82 / $759.05 / $910.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.28 / $759.05 / $948.81
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.43 / $1,072.15 / $2,015.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.38 / $910.86 / $1,707.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.82 / $759.05 / $1,657.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.07 / $795.00 / $1,200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.80 / $336.98 / $481.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.02 / $500.00 / $759.05