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Missouri 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)

Facilitymedian $398 · 10th–90th $257–$5500%20%10th90th$398Professionalmedian $251 · 10th–90th $170–$3720%10%20%10th90th$251$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $478.63 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $239.88 / $338.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $288.40 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $588.84 / $676.08
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $338.84 / $1,348.96
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $169.82 / $1,412.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $281.84 / $338.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $169.82 / $316.23