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Arizona 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
$724.40 / $1,590.00 / $3,172.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.65 / $759.00 / $5,111.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$795.20 / $3,128.12 / $5,202.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.33 / $558.91 / $796.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.52 / $1,028.78 / $2,222.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.74 / $675.08 / $1,141.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.50 / $596.25 / $3,776.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.90 / $333.90 / $795.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.90 / $333.90 / $477.00