go back

Oklahoma 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
$569.29 / $759.05 / $1,821.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.43 / $455.43 / $569.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.11 / $295.77 / $428.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.10 / $721.10 / $759.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.71 / $493.38 / $758.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.74 / $592.57 / $1,107.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.43 / $561.70 / $3,605.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.80 / $336.98 / $948.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.83 / $683.15 / $802.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.80 / $336.98 / $485.79