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Tennessee 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
$112.75 / $187.91 / $481.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.75 / $117.26 / $142.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.60 / $205.00 / $285.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.66 / $331.30 / $494.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.70 / $103.57 / $407.34
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.57 / $883.04 / $883.04
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.65 / $751.65 / $1,127.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.14 / $90.20 / $150.33