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Louisiana 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
$159.35 / $207.16 / $736.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.20 / $181.90 / $195.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.78 / $293.58 / $470.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.30 / $165.36 / $165.36
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.33 / $150.33 / $150.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.16 / $375.09 / $699.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.48 / $155.87 / $309.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.14 / $85.70 / $210.46