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Alaska rates for HCPCS 81439

Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at least 5 cardiomyopathy-related genes (eg, DSG2, MYBPC3, MYH7, PKP2, TTN)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$865.65 / $4,036.41 / $6,857.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.65 / $1,959.42 / $1,959.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,615.81 / $1,615.81 / $1,615.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.86 / $671.95 / $907.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.49 / $368.49 / $368.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.90 / $584.90 / $1,883.38
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.15 / $2,164.13 / $2,339.60
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.41 / $1,203.50 / $2,888.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.49 / $368.49 / $368.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.90 / $762.21 / $1,608.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.05 / $1,169.80 / $1,764.77