go back

Maine 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
$795.00 / $795.00 / $1,987.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.95 / $643.95 / $795.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.32 / $965.69 / $2,748.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.96 / $318.00 / $516.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.79 / $804.62 / $1,141.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.00 / $795.00 / $802.95
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$795.00 / $795.00 / $1,987.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.95 / $795.00 / $795.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.00 / $477.00 / $1,223.23