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Louisiana 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
$804.59 / $1,045.97 / $3,721.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.43 / $842.55 / $986.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.24 / $1,187.32 / $1,837.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.24 / $881.32 / $1,156.70
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.05 / $759.05 / $759.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.38 / $1,654.46 / $3,612.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.35 / $709.83 / $1,472.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.26 / $481.40 / $759.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.80 / $455.43 / $1,203.50