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Tennessee 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 / $1,053.19 / $2,717.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.43 / $592.05 / $645.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.21 / $759.05 / $1,214.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.71 / $1,562.47 / $2,379.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.87 / $440.02 / $1,292.67
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,320.75 / $3,605.49 / $3,605.49
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,795.25 / $3,795.25 / $5,692.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.83 / $455.43 / $759.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.80 / $455.43 / $802.33