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Missouri 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
$145.82 / $336.74 / $1,028.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.25 / $130.79 / $172.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.33 / $157.85 / $693.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.13 / $125.64 / $268.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.35 / $315.31 / $453.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.45 / $143.24 / $194.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.79 / $180.40 / $883.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.14 / $90.20 / $751.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.14 / $90.20 / $170.02