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Medicaid Connecticut – 2024 Revision of Rates for Certain Clinical Diagnostic Laboratory Testing Codes

February 12, 2024

Retroactive to dates of service January 1, 2024, and forward, the reimbursement rate for the following procedure code is being updated to 70% of the current Medicare rate to remain consistent with CMAP’s payment methodology for independent laboratories.

Procedure Code Description Current Rate New Rate
81418 Rx metab gen seq alys pnl 6 MP $641.96

Source: https://www.ctdssmap.com/CTPortal/Information/Get-Download-File?Filename=pb24_04.pdf&URI=Bulletins/pb24_04.pdf

Medicaid

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