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Massachusetts 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
$100.00 / $345.76 / $458.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $176.74
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.70 / $438.51 / $627.27
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.20 / $150.33 / $596.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.87 / $341.58 / $597.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.84 / $44.84 / $44.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.71 / $183.69 / $341.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.78 / $144.44 / $391.53
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.04 / $217.04 / $255.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.33 / $150.33 / $465.56
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.57 / $883.04 / $883.04
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.20 / $90.20 / $751.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.20 / $90.20 / $310.70