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Utah 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
$500.00 / $1,281.59 / $3,435.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.34 / $570.79 / $786.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.79 / $667.29 / $2,091.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.00 / $872.26 / $1,388.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.05 / $872.91 / $3,074.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.57 / $836.21 / $909.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.80 / $336.98 / $455.43