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Pennsylvania rates for HCPCS 81426

Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.05 / $11,192.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,387.44 / $17,425.00 / $17,425.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,113.76 / $2,113.76 / $2,113.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,571.75 / $4,003.22 / $8,992.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,276.88 / $2,894.24 / $6,129.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,612.42 / $3,658.43 / $5,148.91
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,681.78 / $1,681.78 / $1,681.78
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $1,951.16 / $11,192.10
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $11,192.10 / $17,425.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,010.73 / $4,064.93 / $5,419.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,637.77 / $4,508.47 / $8,992.73
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,426.81 / $2,900.88 / $6,129.04
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,709.95 / $2,709.95 / $2,980.95
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,709.95 / $2,709.95 / $2,980.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.18 / $1,625.97 / $4,064.93