go back

Pennsylvania 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
$614.83 / $2,151.91 / $3,174.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.43 / $607.24 / $728.69
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,771.17 / $3,692.72 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.05 / $592.05 / $592.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.38 / $1,121.25 / $2,220.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.64 / $742.71 / $1,403.27
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.16 / $607.24 / $1,282.79
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.05 / $1,000.05 / $1,000.05
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.50 / $561.50 / $561.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.19 / $2,151.91 / $3,134.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.43 / $614.83 / $3,134.88
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.39 / $1,138.58 / $1,518.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.18 / $1,262.81 / $2,518.75
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.74 / $745.97 / $1,397.94
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.05 / $759.05 / $882.56
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.05 / $759.05 / $882.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.80 / $455.43 / $1,243.60