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Idaho 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
$271.32 / $271.32 / $390.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.23 / $293.14 / $293.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.25 / $312.67 / $586.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.11 / $131.88 / $248.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.88 / $293.14 / $322.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.33 / $150.33 / $180.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.01 / $135.30 / $293.14
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.50 / $300.66 / $541.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.30 / $264.64 / $264.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.14 / $63.14 / $172.88