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Maryland 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
$1,276.32 / $1,276.32 / $1,276.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.49 / $432.83 / $508.52
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.41 / $584.90 / $742.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.00 / $398.71 / $756.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.44 / $461.54 / $1,251.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.90 / $731.13 / $877.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.20 / $336.98 / $532.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.11 / $288.83 / $292.45