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Rhode Island 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
$864.40 / $864.40 / $864.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $123.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.33 / $177.06 / $192.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.84 / $112.75 / $333.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.08 / $286.08 / $502.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.13 / $199.70 / $407.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.14 / $90.20 / $216.82