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Connecticut 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
$142.81 / $174.38 / $418.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $331.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.84 / $159.69 / $340.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.66 / $119.95 / $169.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.87 / $201.47 / $613.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.56 / $186.76 / $338.42
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.51 / $199.29 / $254.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.15 / $90.20 / $263.81