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Maine 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
$150.33 / $150.33 / $375.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.77 / $121.77 / $150.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.47 / $220.99 / $724.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.13 / $60.13 / $97.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.64 / $320.64 / $320.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.33 / $152.22 / $158.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.33 / $150.33 / $151.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.33 / $150.33 / $375.83
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.77 / $150.33 / $150.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.17 / $90.20 / $263.08