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North Carolina 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
$120.26 / $129.28 / $445.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.97 / $120.26 / $163.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.66 / $313.62 / $422.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.78 / $177.00 / $277.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.60 / $209.07 / $395.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.69 / $111.50 / $219.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.26 / $150.33 / $249.55
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.33 / $150.33 / $317.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.71 / $150.33 / $287.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.17 / $90.20 / $154.84
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.57 / $883.04 / $883.04
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.65 / $751.65 / $1,127.48