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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
$584.90 / $584.90 / $2,614.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.77 / $473.77 / $584.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.01 / $859.80 / $5,166.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.96 / $233.96 / $685.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,247.58 / $1,247.58 / $1,247.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.71 / $591.84 / $895.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.90 / $584.90 / $590.75
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.90 / $584.90 / $2,614.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.77 / $584.90 / $584.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.94 / $433.26 / $1,263.68