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Arizona rates for HCPCS 81402

Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants [typically using non-sequencing target variant analysis], immunoglobulin and T-cell receptor gene rearrangements, duplication/deletion variants of 1 exon, loss of heterozygosity [LOH], uniparental disomy [UPD])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.97 / $238.72 / $599.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.72 / $966.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.60 / $393.44 / $623.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.64 / $143.47 / $694.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.69 / $263.82 / $439.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.45 / $112.99 / $150.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.72 / $150.33 / $271.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.14 / $63.14 / $751.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.14 / $63.14 / $90.20