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Maine rates for HCPCS 0158U

MLH1 (mutL homolog 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $213.80 / $281.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $169.82 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $338.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $218.78 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $281.84 / $407.38