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Maine rates for HCPCS 81448

Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2, GJB1, MFN2, MPZ, REEP1, SPAST, SPG11, SPTLC1)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $3,548.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $478.63 / $588.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $4,570.88 / $5,011.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $331.13 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $588.84 / $1,348.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $707.95
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $2,630.27
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $562.34 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $588.84 / $1,122.02