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Ohio 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
$467.92 / $1,113.65 / $1,801.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.49 / $467.92 / $561.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.47 / $643.39 / $1,035.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.83 / $288.83 / $800.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.15 / $614.15 / $877.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.17 / $760.37 / $1,403.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $602.22 / $2,217.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.36 / $512.47 / $1,133.07
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $602.22 / $2,261.78
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.36 / $385.12 / $1,133.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.68 / $504.48 / $701.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.56 / $210.56 / $526.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.66 / $350.94 / $852.20