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Idaho 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
$1,369.94 / $1,369.94 / $1,973.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.34 / $1,480.15 / $1,480.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.07 / $804.21 / $2,960.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.06 / $720.83 / $1,090.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.51 / $1,480.15 / $1,628.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.05 / $759.05 / $910.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.15 / $1,480.15 / $1,480.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,138.58 / $1,707.86 / $2,793.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.19 / $1,334.94 / $1,334.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.80 / $336.98 / $962.80