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Maryland 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
Professional
Modifier
Low / Median / High Price
$100.00 / $112.75 / $123.27
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.33 / $165.36 / $302.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.13 / $106.84 / $434.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.33 / $180.40 / $225.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.14 / $67.65 / $135.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.17 / $75.17 / $75.17