go back

Kansas 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
$165.45 / $355.06 / $1,028.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.75 / $130.79 / $160.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.51 / $230.19 / $345.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.22 / $211.22 / $211.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.24 / $282.97 / $464.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.62 / $143.62 / $218.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.97 / $150.33 / $217.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.14 / $90.20 / $751.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.14 / $90.20 / $225.50