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Ohio 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
$607.24 / $1,305.80 / $1,897.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.43 / $607.24 / $759.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.24 / $834.96 / $1,343.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.62 / $303.62 / $885.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.19 / $834.96 / $1,127.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.38 / $986.77 / $1,625.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.12 / $781.51 / $2,935.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.23 / $547.59 / $1,470.31
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.12 / $781.51 / $2,935.19
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.23 / $408.44 / $1,391.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.29 / $654.68 / $910.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$910.86 / $910.86 / $910.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.80 / $455.43 / $1,105.94