go back

Missouri 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
$645.19 / $1,020.40 / $1,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.43 / $652.78 / $736.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.05 / $797.00 / $3,503.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.62 / $604.82 / $1,661.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.02 / $1,592.14 / $3,262.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.46 / $593.94 / $1,090.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.43 / $948.81 / $3,605.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.80 / $481.40 / $1,879.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.26 / $759.05 / $910.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.80 / $455.43 / $910.86