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Minnesota 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
$141.25 / $141.25 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $123.03 / $181.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $151.36 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $575.44 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $218.78 / $309.03
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $512.86 / $1,096.48
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $288.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $269.15 / $478.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $91.20 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $181.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $123.03 / $323.59