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Hawaii rates for HCPCS 81422

Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.22 / $709.71 / $910.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.23 / $425.23 / $425.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.96 / $910.86 / $910.86
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.12 / $840.14 / $1,002.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.05 / $910.86 / $1,138.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.33 / $910.86 / $1,138.58
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.19 / $1,115.80 / $1,707.86