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Pennsylvania 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
$675.75 / $1,760.66 / $3,324.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.04 / $675.75 / $825.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,745.85 / $3,658.99 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.10 / $620.10 / $620.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.52 / $1,028.78 / $2,309.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.61 / $897.49 / $1,798.13
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.70 / $636.00 / $1,343.55
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.07 / $1,390.59 / $1,931.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.85 / $1,760.66 / $3,283.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.40 / $759.00 / $3,283.35
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.20 / $1,176.59 / $1,590.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.53 / $1,021.27 / $2,638.27
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.23 / $897.49 / $1,798.13
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$795.00 / $795.00 / $874.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.00 / $795.00 / $874.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.90 / $477.00 / $1,192.50