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Alaska rates for HCPCS 81507

Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,176.59 / $5,486.29 / $9,321.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,663.25 / $2,663.25 / $3,048.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,196.19 / $2,196.19 / $2,196.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.56 / $913.56 / $1,141.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.50 / $397.50 / $577.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.00 / $795.00 / $2,559.90
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,782.50 / $2,941.50 / $3,180.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.50 / $1,788.75 / $3,180.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.50 / $397.50 / $577.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.25 / $795.00 / $2,186.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.75 / $1,590.00 / $2,398.67